| Resilience Within Licensed Clinical Social Worker | |
|
14726 Ramona Ave Ste S17 Chino CA 91710-5730 | |
| (626) 386-3316 | |
| (626) 270-4237 |
| Full Name | Resilience Within Licensed Clinical Social Worker |
|---|---|
| Speciality | Social Worker |
| Location | 14726 Ramona Ave Ste S17, Chino, California |
| Authorized Official Name and Position | Jeannie Tse (OWNER) |
| Authorized Official Contact | 6263863316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Within Licensed Clinical Social Worker 14726 Ramona Ave Ste S17 Chino CA 91710-5730 Ph: (626) 386-3316 | Resilience Within Licensed Clinical Social Worker 14726 Ramona Ave Ste S17 Chino CA 91710-5730 Ph: (626) 386-3316 |
| NPI Number | 1407408693 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 5193054807 |
|---|---|
| Medicare Enrollment ID | O20190905001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407408693 | NPI | - | NPPES |
| 64465 | Other | CA | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeannie P Tse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881881563 PECOS PAC ID: 2264721729 Enrollment ID: I20160523001990 |
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