Mrs Heather Grant Petanovitch, LCSW is a
Social Worker - Clinical based in San Diego, California. Mrs Heather Grant Petanovitch is licensed to practice in California (license number 27095) and her current practice location is
3161 Hawthron Street, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 752-3025.
NPI number for Mrs Heather Grant Petanovitch is 1174698237 and her current mailing address is 3161 Hawthron Street, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174698237.
Healthcare Provider's Profile
Full Name | Mrs Heather Grant Petanovitch |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 3161 Hawthron Street, San Diego, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174698237
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 11/13/2013
Medical Identifiers
Medical identifiers for Mrs Heather Grant Petanovitch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174698237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 20517 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 27095 (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. Mrs Heather Grant Petanovitch 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 |
Mrs Heather Grant Petanovitch, LCSW 3161 Hawthron Street, San Diego, CA 92104 Ph: (858) 752-3025 | Mrs Heather Grant Petanovitch, LCSW 3161 Hawthron Street, San Diego, CA 92104-2360 Ph: (858) 752-3025 |
Reviews and Comments