Miss Justine Carrillo, LCSW is a
Social Worker - Clinical based in Mission Viejo, California. Miss Justine Carrillo is licensed to practice in California (license number 94835) and her current practice location is
25910 Acero Ste 160, Mission Viejo, California. She can be reached at her office (for appointments etc.) via phone at
(909) 973-4740.
NPI number for Miss Justine Carrillo is 1073947149 and her current mailing address is 25910 Acero Ste 160, Mission Viejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073947149.
Healthcare Provider's Profile
Full Name | Miss Justine Carrillo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 25910 Acero Ste 160, Mission Viejo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073947149
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 07/25/2022
Medical Identifiers
Medical identifiers for Miss Justine Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073947149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 94835 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Justine Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Justine Carrillo, LCSW 25910 Acero Ste 160, Mission Viejo, CA 92691-2777 Ph: (909) 973-4740 | Miss Justine Carrillo, LCSW 25910 Acero Ste 160, Mission Viejo, CA 92691-2777 Ph: (909) 973-4740 |
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