| Natalia Salinas Licensed Clinical Social Worker, Inc | |
|
128 N Citrus Ave Ste D Covina CA 91723-2039 | |
| (661) 809-4385 | |
| Not Available |
| Full Name | Natalia Salinas Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 N Citrus Ave Ste D, Covina, California |
| Authorized Official Name and Position | Natalia Salinas (CEO/PRESIDENT) |
| Authorized Official Contact | 6618094385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalia Salinas Licensed Clinical Social Worker, Inc 1004 W West Covina Pkwy # 109 West Covina CA 91790-2810 Ph: () - | Natalia Salinas Licensed Clinical Social Worker, Inc 128 N Citrus Ave Ste D Covina CA 91723-2039 Ph: (661) 809-4385 |
| NPI Number | 1487298261 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 09/06/2023 |
| Certification Date | 06/02/2020 |
| Medicare PECOS PAC ID | 0446661003 |
|---|---|
| Medicare Enrollment ID | O20201203000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487298261 | NPI | - | NPPES |
| 1215153473 | Other | CA | MEDICAL |
| 1215153473 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Natalia Salinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215153473 PECOS PAC ID: 2264556844 Enrollment ID: I20100903000099 |
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