| Pier View Counseling, A Licensed Clinical Social Worker Corporation | |
|
707 Civic Center Dr Suite 106 Vista CA 92084-6160 | |
| (760) 576-5822 | |
| Not Available |
| Full Name | Pier View Counseling, A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 707 Civic Center Dr, Vista, California |
| Authorized Official Name and Position | Lydia Lombardi Good (OWNER) |
| Authorized Official Contact | 7605765822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pier View Counseling, A Licensed Clinical Social Worker Corporation 707 Civic Center Dr Suite 106 Vista CA 92084-6160 Ph: (760) 576-5822 | Pier View Counseling, A Licensed Clinical Social Worker Corporation 707 Civic Center Dr Suite 106 Vista CA 92084-6160 Ph: (760) 576-5822 |
| NPI Number | 1861886475 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 05/03/2017 |
| Medicare PECOS PAC ID | 1456622760 |
|---|---|
| Medicare Enrollment ID | O20170804001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861886475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 27399 (California) | Primary |
| Provider Name | Lydia Lombardi Good |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508391608 PECOS PAC ID: 5092086306 Enrollment ID: I20170804001874 |
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