| Courtney Roushion, LCSW | |
|
357 W 2nd St, San Bernardino, CA 92401-1800 | |
| (909) 565-5431 | |
| Not Available |
| Full Name | Courtney Roushion |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 357 W 2nd St, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568939924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 86614 (California) | Primary |
| Entity Name | Los Angeles Lgbt Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020 |
| Entity Name | Bridge Vision Licensed Clinical Social Worker |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083069850 PECOS PAC ID: 1759718620 Enrollment ID: O20200305002340 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Roushion, LCSW 473 S Carnegie Dr, San Bernardino, CA 92408-4207 Ph: (909) 565-5431 | Courtney Roushion, LCSW 357 W 2nd St, San Bernardino, CA 92401-1800 Ph: (909) 565-5431 |
Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 | |
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643 | |
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940 | |
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 | |
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191 | |
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 | |
Dr. Ray Everett Liles, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-645-8579 |