<unavail> in San Diego, CA - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in San Diego, California. The current practice location for is 438 Camino Del Rio S Ste 106, San Diego, California. For appointments, you can reach them via phone at (855) 550-6463. The mailing address for is Po Box 1429, Salisbury, North Carolina and phone number is (206) 724-1722.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093454423. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (855) 550-6463.

Contact Information


	438 Camino Del Rio S Ste 106 San Diego CA 92108-3546
	(855) 550-6463
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	438 Camino Del Rio S Ste 106, San Diego, California
Authorized Official Name and Position	Kerry Duane Kozuki (COO)
Authorized Official Contact	2067241722
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1429 Salisbury NC 28145-1429 Ph: (206) 724-1722	438 Camino Del Rio S Ste 106 San Diego CA 92108-3546 Ph: (855) 550-6463

NPI Details:

NPI Number	1093454423
Provider Enumeration Date	06/02/2022
Last Update Date	12/04/2024
Certification Date	11/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2264975580
Medicare Enrollment ID	O20240614002474

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093454423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jodi A Walsh
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1497422539 PECOS PAC ID: 1153864228 Enrollment ID: I20240617003497

Reviews and Comments

Social Worker in San Diego, CA

Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020

- Medicare Mental Health Clinic in San Diego, CA