| Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc | |
|
22048 Sherman Way Ste 115 Canoga Park CA 91303-1893 | |
| (646) 694-2434 | |
| Not Available |
| Full Name | Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker |
| Location | 22048 Sherman Way Ste 115, Canoga Park, California |
| Authorized Official Name and Position | Jennifer Rose Mauceri (LCSW) |
| Authorized Official Contact | 6466942434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc 22048 Sherman Way Ste 115 Canoga Park CA 91303-1893 Ph: (646) 694-2434 | Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc 22048 Sherman Way Ste 115 Canoga Park CA 91303-1893 Ph: (646) 694-2434 |
| NPI Number | 1215495551 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 01/01/2020 |
| Certification Date | 01/01/2020 |
| Medicare PECOS PAC ID | 3577897099 |
|---|---|
| Medicare Enrollment ID | O20190702003148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215495551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Mauceri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538484670 PECOS PAC ID: 4486988904 Enrollment ID: I20190702003266 |
| Provider Name | Linda K Zuchegna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700363298 PECOS PAC ID: 3375925431 Enrollment ID: I20220805001181 |
| Provider Name | Shonta Roychelle Jones-cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093913733 PECOS PAC ID: 9537516208 Enrollment ID: I20231117001092 |
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