The Shaffer Group | |
40315 Bellevue Dr Temecula CA 92591-7563 | |
(951) 595-2764 | |
Not Available |
Full Name | The Shaffer Group |
---|---|
Speciality | Social Worker |
Location | 40315 Bellevue Dr, Temecula, California |
Authorized Official Name and Position | Stephanie Shaffer (PRESIDENT) |
Authorized Official Contact | 9515952764 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Shaffer Group 40335 Winchester Rd Ste 280 Temecula CA 92591-5500 Ph: (951) 595-2764 | The Shaffer Group 40315 Bellevue Dr Temecula CA 92591-7563 Ph: (951) 595-2764 |
NPI Number | 1689031817 |
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Provider Enumeration Date | 01/19/2016 |
Last Update Date | 09/21/2020 |
Certification Date | 09/21/2020 |
Medicare PECOS PAC ID | 6305256330 |
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Medicare Enrollment ID | O20201103002083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689031817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW27326 (California) | Primary |
Provider Name | Stephanie J Shaffer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518242411 PECOS PAC ID: 5092978163 Enrollment ID: I20120530000234 |
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