Mitzi Hermann, MSW, INTERN is a
Social Worker - Clinical based in Fountain Valley, California. Mitzi Hermann is licensed to practice in California (license number LCSW96945) and her current practice location is
18350 Mount Langley St Ste 220, Fountain Valley, California. She can be reached at her office (for appointments etc.) via phone at
(714) 378-2620.
NPI number for Mitzi Hermann is 1821498486 and her current mailing address is 18350 Mount Langley St Ste 220, Fountain Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821498486.
Healthcare Provider's Profile
| Full Name | Mitzi Hermann |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 18350 Mount Langley St Ste 220, Fountain Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821498486
- Provider Enumeration Date: 09/01/2014
- Last Update Date: 07/06/2022
Medical Identifiers
Medical identifiers for Mitzi Hermann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821498486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW 67180 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW96945 (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. Mitzi Hermann 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 |
|---|
Mitzi Hermann, MSW, INTERN
18350 Mount Langley St Ste 220,
Fountain Valley, CA 92708-6912
Ph: () - | Mitzi Hermann, MSW, INTERN
18350 Mount Langley St Ste 220,
Fountain Valley, CA 92708-6912
Ph: (714) 378-2620 |
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