| Bonnie Kamp, LCSW | |
|
15206 Parthenia St, North Hills, CA 91343-5305 | |
| (818) 895-3100 | |
| (818) 892-3352 |
| Full Name | Bonnie Kamp |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15206 Parthenia St, North Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689845307 | NPI | - | NPPES |
| FHC70436F | Medicaid | CA | |
| EAP70436F | Medicaid | CA | |
| HAP70436F | Medicaid | CA | |
| W11698 | Other | CA | GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS18862 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Kamp, LCSW 15206 Parthenia St, North Hills, CA 91343-5305 Ph: (818) 895-3100 | Bonnie Kamp, LCSW 15206 Parthenia St, North Hills, CA 91343-5305 Ph: (818) 895-3100 |
Mr. Paul Floyd Burton, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, Bldg. 200, Room 2437, North Hills, CA 91343 Phone: 818-895-9596 Fax: 818-895-9339 | |
Mrs. Michelle Aguiriano Schrock, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Greater Los Angeles Va Healthcare System--(oopr), 16111 Plummer St., North Hills, CA 91343 Phone: 818-891-7711 Fax: 818-895-9452 | |
Mr. Gautam Roman Gupta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15305 Rayen St, North Hills, CA 91343 Phone: 818-277-2600 | |
Caitilin Marie Harbecke, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St Bldg 20, North Hills, CA 91343 Phone: 818-891-7711 | |
Joanna Irene Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St Bldg 20, North Hills, CA 91343 Phone: 818-891-7711 | |
Ms. Farial Kosten, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Alycia Erin Wood, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15206 Parthenia St, North Hills, CA 91343 Phone: 818-895-3100 Fax: 818-892-3352 |