Michael Hannant, | |
330 E Live Oak Ave, Arcadia, CA 91006-5617 | |
(626) 254-1400 | |
Not Available |
Full Name | Michael Hannant |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 330 E Live Oak Ave, Arcadia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053560060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 70167 (California) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Mailing Address | Practice Location Address |
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Michael Hannant, 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 Ph: () - | Michael Hannant, 330 E Live Oak Ave, Arcadia, CA 91006-5617 Ph: (626) 254-1400 |
Ms. Chrishonda Donyea Hubert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-1400 | |
Yumi Han, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 436 Fairview Ave Apt 23, Arcadia, CA 91007 Phone: 213-344-7604 | |
Mr. Michael Lavern Kunch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-821-5843 Fax: 626-821-0858 | |
Ms. Fatima Opina Agregado, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-2400 | |
Jasmine A Vasquez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 440 E Huntington Dr Ste 300, Arcadia, CA 91006 Phone: 213-924-1145 | |
Mr. John William Fears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-821-3245 Fax: 626-821-0858 |