Heather J Dale Licensed Clinical Social Worker Corporation | |
13300 Garden Grove Blvd Garden Grove CA 92843-2207 | |
(949) 278-2204 | |
Not Available |
Full Name | Heather J Dale Licensed Clinical Social Worker Corporation |
---|---|
Speciality | Social Worker |
Location | 13300 Garden Grove Blvd, Garden Grove, California |
Authorized Official Name and Position | Heather J Dale (PRESIDENT) |
Authorized Official Contact | 9492782204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heather J Dale Licensed Clinical Social Worker Corporation 3500 Rosehedge Dr Fullerton CA 92835-1628 Ph: (949) 278-2204 | Heather J Dale Licensed Clinical Social Worker Corporation 13300 Garden Grove Blvd Garden Grove CA 92843-2207 Ph: (949) 278-2204 |
NPI Number | 1528534427 |
---|---|
Provider Enumeration Date | 10/17/2018 |
Last Update Date | 01/17/2019 |
Medicare PECOS PAC ID | 8123364197 |
---|---|
Medicare Enrollment ID | O20190111001472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528534427 | NPI | - | NPPES |
1891137733 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Heather J Dale |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891137733 PECOS PAC ID: 0840536827 Enrollment ID: I20190214000596 |
Prime Healthcare Services - Garden Grove Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2700 | |
Behavioral Support Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12443 Lewis St, Suite 201, Garden Grove, CA 92840 Phone: 714-748-4440 | |
Amhs Project Shine-oc Fsp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12966 Euclid St Ste 495, Garden Grove, CA 92840 Phone: 714-636-9095 Fax: 714-591-5015 | |
Mrs Learning Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9252 Garden Grove Blvd Ste 18, Garden Grove, CA 92844 Phone: 714-202-7240 Fax: 657-236-2036 | |
Reach Behavior Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13331 Garden Grove Blvd, Suite E, Garden Grove, CA 92843 Phone: 714-235-1936 | |
Harrell M. Reznick, Ph.d. And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12792 Longden St, Garden Grove, CA 92845 Phone: 714-891-1420 | |
Cys Nhan Hoa Ocapica Fsp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015 |