Miss Marialicia Emma Gonzalez Chavez, ASW is a
Social Worker based in Santa Fe Springs, California. Miss Marialicia Emma Gonzalez Chavez is licensed to practice in California (license number ASW108870) and her current practice location is
11731 Telegraph Rd Ste K, Santa Fe Springs, California. She can be reached at her office (for appointments etc.) via phone at
(626) 701-7436.
NPI number for Miss Marialicia Emma Gonzalez Chavez is 1619535028 and her current mailing address is 11721 Telegraph Rd Ste K, Santa Fe Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619535028.
Healthcare Provider's Profile
| Full Name | Miss Marialicia Emma Gonzalez Chavez |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 11731 Telegraph Rd Ste K, Santa Fe Springs, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619535028
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Miss Marialicia Emma Gonzalez Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619535028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW108870 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW108870 (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 Marialicia Emma Gonzalez Chavez 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 Marialicia Emma Gonzalez Chavez, ASW
11721 Telegraph Rd Ste K,
Santa Fe Springs, CA 90670-6832
Ph: (626) 701-7436 | Miss Marialicia Emma Gonzalez Chavez, ASW
11731 Telegraph Rd Ste K,
Santa Fe Springs, CA 90670-6815
Ph: (626) 701-7436 |
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