Ponneary Ke Mccormick, is a
Social Worker - Clinical based in Chino Hills, California. Ponneary Ke Mccormick is licensed to practice in California (license number 120193) and her current practice location is
Po Box 2495, Chino Hills, California. She can be reached at her office (for appointments etc.) via phone at
(840) 207-2461.
NPI number for Ponneary Ke Mccormick is 1609957299 and her current mailing address is Po Box 2495, Chino Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609957299.
Healthcare Provider's Profile
| Full Name | Ponneary Ke Mccormick |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | Po Box 2495, Chino Hills, 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: 1609957299
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Ponneary Ke Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609957299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 75017 (California) | Secondary |
| 104100000X | Social Worker | 112531 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 75017 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 120193 (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. Ponneary Ke Mccormick 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 |
|---|
Ponneary Ke Mccormick,
Po Box 2495,
Chino Hills, CA 91709-0084
Ph: () - | Ponneary Ke Mccormick,
Po Box 2495,
Chino Hills, CA 91709-0084
Ph: (840) 207-2461 |
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