| Empower Tct Inc | |
|
1414 S Miller St Ste D Santa Maria CA 93454-6915 | |
| (805) 266-3231 | |
| Not Available |
| Full Name | Empower Tct Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1414 S Miller St Ste D, Santa Maria, California |
| Authorized Official Name and Position | Larisa Traga (CEO) |
| Authorized Official Contact | 8052663231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Tct Inc 1741 Winchester Way Santa Maria CA 93454-2665 Ph: (805) 266-3231 | Empower Tct Inc 1414 S Miller St Ste D Santa Maria CA 93454-6915 Ph: (805) 266-3231 |
| NPI Number | 1396429874 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 1052766334 |
|---|---|
| Medicare Enrollment ID | O20231005002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396429874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Larisa A Traga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619115060 PECOS PAC ID: 8921422338 Enrollment ID: I20200717002367 |
| Provider Name | Tamara J Chaffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386772408 PECOS PAC ID: 6305230913 Enrollment ID: I20220224002105 |
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