Molly Anne Eisen-kearns, Licensed Clinical Social Worker Inc. | |
4565 Mananita Ave Atascadero CA 93422-3068 | |
(561) 385-4855 | |
Not Available |
Full Name | Molly Anne Eisen-kearns, Licensed Clinical Social Worker Inc. |
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Speciality | Social Worker |
Location | 4565 Mananita Ave, Atascadero, California |
Authorized Official Name and Position | Molly Anne Eisen-kearns (PRESIDENT) |
Authorized Official Contact | 5613854855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Molly Anne Eisen-kearns, Licensed Clinical Social Worker Inc. 4565 Mananita Ave Atascadero CA 93422-3068 Ph: (561) 385-4855 | Molly Anne Eisen-kearns, Licensed Clinical Social Worker Inc. 4565 Mananita Ave Atascadero CA 93422-3068 Ph: (561) 385-4855 |
NPI Number | 1598451999 |
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Provider Enumeration Date | 04/18/2023 |
Last Update Date | 04/18/2023 |
Certification Date | 04/18/2023 |
Medicare PECOS PAC ID | 0648638700 |
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Medicare Enrollment ID | O20230621002713 |
Identifier | Type | State | Issuer |
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1598451999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Molly A Eisen-kearns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699079954 PECOS PAC ID: 4183886153 Enrollment ID: I20160822002538 |
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