Dr Priscilla Psy D Licensed Clinical Social Worker Corp in Gardena, CA

Dr Priscilla Psy D Licensed Clinical Social Worker Corp is a medicare enrolled mental health clinic (Social Worker - Clinical) in Gardena, California. The current practice location for Dr Priscilla Psy D Licensed Clinical Social Worker Corp is 12915 Daphne Ave, Gardena, California. For appointments, you can reach them via phone at (951) 203-1917. The mailing address for Dr Priscilla Psy D Licensed Clinical Social Worker Corp is 222 N Pacific Coast Hwy Ste 2000, El Segundo, California and phone number is (951) 203-1917.

Dr Priscilla Psy D Licensed Clinical Social Worker Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649931163. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 203-1917.

Contact Information

	Dr Priscilla Psy D Licensed Clinical Social Worker Corp
	12915 Daphne Ave Gardena CA 90249-1603
	(951) 203-1917
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Dr Priscilla Psy D Licensed Clinical Social Worker Corp
Speciality	Social Worker
Location	12915 Daphne Ave, Gardena, California
Authorized Official Name and Position	Priscilla Gales (PYSCHOTHERAPIST)
Authorized Official Contact	9512031917
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Priscilla Psy D Licensed Clinical Social Worker Corp 222 N Pacific Coast Hwy Ste 2000 El Segundo CA 90245-5614 Ph: (951) 203-1917	Dr Priscilla Psy D Licensed Clinical Social Worker Corp 12915 Daphne Ave Gardena CA 90249-1603 Ph: (951) 203-1917

NPI Details:

NPI Number	1649931163
Provider Enumeration Date	01/06/2022
Last Update Date	12/04/2024
Certification Date	12/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4486013679
Medicare Enrollment ID	O20230706001826

Medical Identifiers

Medical identifiers for Dr Priscilla Psy D Licensed Clinical Social Worker Corp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649931163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dr Priscilla Psy D Licensed Clinical Social Worker Corp acts as a billing entity for following providers:

Provider Name	Priscilla Margaret Gales
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1841789922 PECOS PAC ID: 6204295496 Enrollment ID: I20230706001874

Reviews and Comments

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Dr Priscilla Psy D Licensed Clinical Social Worker Corp - Medicare Mental Health Clinic in Gardena, CA