| Colleen Dawn Wong, LCSW | |
|
8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 | |
| (818) 654-3400 | |
| (818) 654-3417 |
| Full Name | Colleen Dawn Wong |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8510 Balboa Blvd, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992059471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27834 (California) | Primary |
| Entity Name | Foresight Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079 |
| Entity Name | Intuitive Psychotherapy Associates Licensed Clinical Social Worker Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215495551 PECOS PAC ID: 3577897099 Enrollment ID: O20190702003148 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Dawn Wong, LCSW 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (818) 654-3400 | Colleen Dawn Wong, LCSW 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (818) 654-3400 |
Angela Ponce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Rupal Mankassarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Faith Lee Chin, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9935 Lindley Ave, Northridge, CA 91325 Phone: 818-395-2557 | |
Melissa Arce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Denice Castellon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd Ste 150, Northridge, CA 91325 Phone: 818-830-0200 | |
Jasmin Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Lisa Tockman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 |