Mrs Kenberly Hairston, is a
Social Worker - Clinical based in Bell Gardens, California. Mrs Kenberly Hairston is licensed to practice in California (license number 117016) and her current practice location is
6635 Florence Ave Ste 101, Bell Gardens, California. She can be reached at her office (for appointments etc.) via phone at
(323) 647-6740.
NPI number for Mrs Kenberly Hairston is 1932742335 and her current mailing address is 6635 Florence Ave Ste 101, Bell Gardens, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932742335.
Healthcare Provider's Profile
| Full Name | Mrs Kenberly Hairston |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6635 Florence Ave Ste 101, Bell Gardens, 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: 1932742335
- Provider Enumeration Date: 10/18/2019
- Last Update Date: 10/18/2023
Medical Identifiers
Medical identifiers for Mrs Kenberly Hairston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932742335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 95499 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 117016 (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 Kenberly Hairston 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 Kenberly Hairston,
6635 Florence Ave Ste 101,
Bell Gardens, CA 90201-4968
Ph: (323) 647-6740 | Mrs Kenberly Hairston,
6635 Florence Ave Ste 101,
Bell Gardens, CA 90201-4968
Ph: (323) 647-6740 |
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