| Social Therapy Services | |
|
751 S Richmond Rd Ste D Ridgecrest CA 93555-8217 | |
| (909) 932-1069 | |
| Not Available |
| Full Name | Social Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 751 S Richmond Rd Ste D, Ridgecrest, California |
| Authorized Official Name and Position | Maria Holm (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7603715522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Therapy Services Po Box 955 Ridgecrest CA 93556-0955 Ph: (760) 371-5522 | Social Therapy Services 751 S Richmond Rd Ste D Ridgecrest CA 93555-8217 Ph: (909) 932-1069 |
| NPI Number | 1699448084 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 3779964564 |
|---|---|
| Medicare Enrollment ID | O20220726001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699448084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria Teresa Holm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265863666 PECOS PAC ID: 2961787700 Enrollment ID: I20170317001940 |
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