| Cindy L Capretz A Licensed Clinical Social Worker Inc | |
|
57 Sea Pine Ln Newport Beach CA 92660-5137 | |
| (949) 689-3604 | |
| Not Available |
| Full Name | Cindy L Capretz A Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker |
| Location | 57 Sea Pine Ln, Newport Beach, California |
| Authorized Official Name and Position | Cindy L. Capretz (OWNER) |
| Authorized Official Contact | 9496893604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy L Capretz A Licensed Clinical Social Worker Inc 57 Sea Pine Ln Newport Beach CA 92660-5137 Ph: (949) 689-3604 | Cindy L Capretz A Licensed Clinical Social Worker Inc 57 Sea Pine Ln Newport Beach CA 92660-5137 Ph: (949) 689-3604 |
| NPI Number | 1578302907 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 5991237216 |
|---|---|
| Medicare Enrollment ID | O20241011001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578302907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cindy L Capretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134409907 PECOS PAC ID: 0042533986 Enrollment ID: I20141229000312 |
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