| Zeeva Behavioral Health, A Professional Licensed Clinical Soc | |
|
458 N Stanley Ave Los Angeles CA 90036-2380 | |
| (818) 392-4214 | |
| Not Available |
| Full Name | Zeeva Behavioral Health, A Professional Licensed Clinical Soc |
|---|---|
| Speciality | Social Worker |
| Location | 458 N Stanley Ave, Los Angeles, California |
| Authorized Official Name and Position | Adella Jenny Jaeger (OWNER) |
| Authorized Official Contact | 7472050896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zeeva Behavioral Health, A Professional Licensed Clinical Soc 2625 Wigwam Pkwy Ste 108 Henderson NV 89074-7326 Ph: () - | Zeeva Behavioral Health, A Professional Licensed Clinical Soc 458 N Stanley Ave Los Angeles CA 90036-2380 Ph: (818) 392-4214 |
| NPI Number | 1821697632 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 11/25/2021 |
| Certification Date | 11/25/2021 |
| Medicare PECOS PAC ID | 7315358751 |
|---|---|
| Medicare Enrollment ID | O20201116002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821697632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adella Jaeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194290692 PECOS PAC ID: 8224449665 Enrollment ID: I20201116002767 |
| Provider Name | Rebekah Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740790815 PECOS PAC ID: 1557772274 Enrollment ID: I20201201000932 |
| Provider Name | Latrice Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396147591 PECOS PAC ID: 4587077847 Enrollment ID: I20210105001128 |
| Provider Name | Cecilia Frances Camarena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619247202 PECOS PAC ID: 5496155756 Enrollment ID: I20210609000280 |
| Provider Name | Arielle Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710560065 PECOS PAC ID: 6709288145 Enrollment ID: I20210708000927 |
| Provider Name | Ian Karlsson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407405186 PECOS PAC ID: 1355737214 Enrollment ID: I20220504000816 |
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