| Eric Bahra, LCSW | |
|
14390 Park Ave, Victorville, CA 92392-2310 | |
| (714) 290-3009 | |
| Not Available |
| Full Name | Eric Bahra |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 14390 Park Ave, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053887117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW85967 (California) | Primary |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | High Desert Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Bahra, LCSW Po Box 1493, Placentia, CA 92871-9493 Ph: (714) 305-3500 | Eric Bahra, LCSW 14390 Park Ave, Victorville, CA 92392-2310 Ph: (714) 290-3009 |
Jessica Morales Sanchez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14598 Seventh St Ste B, Victorville, CA 92395 Phone: 909-825-7084 | |
Christopher Lee Fadness, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 107, Victorville, CA 92394 Phone: 760-955-9703 | |
Myra Dina Lopez, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15434 W Sage St, Victorville, CA 92392 Phone: 760-843-0506 Fax: 760-843-0507 | |
Mrs. Michelle Allen, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 205, Victorville, CA 92394 Phone: 760-217-3267 | |
Jacquelyn Renee Williams Brooks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15497 W Sand St, Victorville, CA 92392 Phone: 760-875-5000 | |
Mr. Phillip George Tardanico, LCSW 69611 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15000 Seventh St Ste 209, Victorville, CA 92395 Phone: 760-217-9527 Fax: 442-267-5623 |