| Denisha Latoya Profit, | |
|
2737 W Cecil Ave, Delano, CA 93215-1821 | |
| (661) 721-2345 | |
| Not Available |
| Full Name | Denisha Latoya Profit |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2737 W Cecil Ave, Delano, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104113158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 80561 (California) | Primary |
| Entity Name | Blue Moon Senior Counseling Of California Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Denisha Latoya Profit, 1825 3rd St Apt C, Bakersfield, CA 93304-2877 Ph: () - | Denisha Latoya Profit, 2737 W Cecil Ave, Delano, CA 93215-1821 Ph: (661) 721-2345 |
Octavio Magana, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2737 West Cecil Avenue, Delano, CA 93215 Phone: 661-721-2345 | |
Mrs. Sonia Vaquera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2737 West Cecil Avenue, Delano, CA 93215 Phone: 661-721-2345 | |
Taniya Rose Winston, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2737 W Cecil Ave, Delano, CA 93215 Phone: 616-721-2345 | |
Jacquelin Garcia De Santiago, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Dover Pkwy, Delano, CA 93215 Phone: 661-725-2788 | |
Cecilia Camacho Valez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2737 W Cecil Ave, Delano, CA 93215 Phone: 661-721-2345 | |
Melissa Jean Van Zandt, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 Del Sol Pkwy, Delano, CA 93215 Phone: 661-725-4780 |