| Studio City Clinical Associates A Licensed Clinical Social Worker Corp | |
|
11712 Moorpark St Ste 205b Studio City CA 91604-2158 | |
| (818) 425-9982 | |
| Not Available |
| Full Name | Studio City Clinical Associates A Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Social Worker |
| Location | 11712 Moorpark St Ste 205b, Studio City, California |
| Authorized Official Name and Position | Karen F Chambre (PRESIDENT) |
| Authorized Official Contact | 8184259925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Studio City Clinical Associates A Licensed Clinical Social Worker Corp 11712 Moorpark St Ste 205b Studio City CA 91604-2158 Ph: (818) 425-9982 | Studio City Clinical Associates A Licensed Clinical Social Worker Corp 11712 Moorpark St Ste 205b Studio City CA 91604-2158 Ph: (818) 425-9982 |
| NPI Number | 1003463258 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Medicare PECOS PAC ID | 0941631857 |
|---|---|
| Medicare Enrollment ID | O20200508002348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003463258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Felice Chambre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326180167 PECOS PAC ID: 4385781897 Enrollment ID: I20091102000144 |
| Provider Name | Jeane Haining |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184885279 PECOS PAC ID: 1759514664 Enrollment ID: I20140430000719 |
| Provider Name | Becky Ione Rau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659893485 PECOS PAC ID: 2567888985 Enrollment ID: I20200817001574 |
| Provider Name | Tana Teicheira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023133816 PECOS PAC ID: 1355236597 Enrollment ID: I20201001002007 |
| Provider Name | Rodney Presley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548359177 PECOS PAC ID: 6608978911 Enrollment ID: I20201211001279 |
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