Resilience Social Work Inc. | |
17777 Center Court Dr N Ste 600 Cerritos CA 90703-8575 | |
(562) 384-9299 | |
Not Available |
Full Name | Resilience Social Work Inc. |
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Speciality | Community/Behavioral Health |
Location | 17777 Center Court Dr N Ste 600, Cerritos, California |
Authorized Official Name and Position | Marilyn Raquel Mejia-pena (OWNER, CEO) |
Authorized Official Contact | 5623849299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resilience Social Work Inc. Po Box 205 Lakewood CA 90714-0205 Ph: (562) 384-9299 | Resilience Social Work Inc. 17777 Center Court Dr N Ste 600 Cerritos CA 90703-8575 Ph: (562) 384-9299 |
NPI Number | 1588364459 |
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Provider Enumeration Date | 03/08/2023 |
Last Update Date | 03/08/2023 |
Certification Date | 03/08/2023 |
Medicare PECOS PAC ID | 0244678183 |
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Medicare Enrollment ID | O20240410003502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588364459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Marilyn R Mejia-pena |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437437720 PECOS PAC ID: 4981820990 Enrollment ID: I20140729000914 |
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