Diane Mitzenmacher, LCSW is a
Social Worker - Clinical based in Rancho Cucuamonga, California. Diane Mitzenmacher is licensed to practice in California (license number LCSW19655) and her current practice location is
8300 Utica Ave #155, Rancho Cucuamonga, California. She can be reached at her office (for appointments etc.) via phone at
(909) 285-5205.
NPI number for Diane Mitzenmacher is 1649366394 and her current mailing address is Po Box 938, Rancho Cucamonga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649366394.
Healthcare Provider's Profile
| Full Name | Diane Mitzenmacher |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 8300 Utica Ave #155, Rancho Cucuamonga, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649366394
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Diane Mitzenmacher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649366394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCS19655 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | BCD#29518 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW19655 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Mitzenmacher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane Mitzenmacher, LCSW
Po Box 938,
Rancho Cucamonga, CA 91729-0938
Ph: (909) 285-5205 | Diane Mitzenmacher, LCSW
8300 Utica Ave #155,
Rancho Cucuamonga, CA 91730-7605
Ph: (909) 285-5205 |
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