| Dr. Tina Webb Licensed Clinical Social Worker Inc. | |
|
1945 Palo Verde Ave Ste 203 Long Beach CA 90815-3445 | |
| (323) 470-6973 | |
| Not Available |
| Full Name | Dr. Tina Webb Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1945 Palo Verde Ave Ste 203, Long Beach, California |
| Authorized Official Name and Position | Tina Webb (OWNER) |
| Authorized Official Contact | 5627607735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tina Webb Licensed Clinical Social Worker Inc. Po Box 2104 Long Beach CA 90801-2104 Ph: (323) 470-6973 | Dr. Tina Webb Licensed Clinical Social Worker Inc. 1945 Palo Verde Ave Ste 203 Long Beach CA 90815-3445 Ph: (323) 470-6973 |
| NPI Number | 1588252233 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Medicare PECOS PAC ID | 7113301581 |
|---|---|
| Medicare Enrollment ID | O20221018000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588252233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tina L Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356735575 PECOS PAC ID: 3971862517 Enrollment ID: I20180105000871 |
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