| Hekmat Izzat, | |
|
5850 Thille St Ste 105, Ventura, CA 93003-5494 | |
| (805) 981-6830 | |
| Not Available |
| Full Name | Hekmat Izzat |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 5850 Thille St Ste 105, Ventura, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881246635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW122837 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soultenders Inc | 6507170453 | 111 |
| Entity Name | Soultenders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Hekmat Izzat, 5850 Thille St Ste 105, Ventura, CA 93003-5494 Ph: () - | Hekmat Izzat, 5850 Thille St Ste 105, Ventura, CA 93003-5494 Ph: (805) 981-6830 |
Lucas Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 669 County Square Dr Ste 101, Ventura, CA 93003 Phone: 805-662-6973 | |
Stephen Andrew Kass, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 W Main St Ste B, Ventura, CA 93001 Phone: 857-300-9554 | |
Ms. Patricia Lynn Mallery, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2674 E Main St Ste E442, Ventura, CA 93003 Phone: 805-826-3275 | |
Varsenik Valerie Agopian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1838 Eastman Ave, Suite 100, Ventura, CA 93003 Phone: 805-289-0120 | |
Denise Anne Hubbard, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1065 E Main St, Ventura, CA 93001 Phone: 805-652-0599 Fax: 805-652-1490 | |
Maimia Orino Natividad, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 674 County Square Dr Ste 106a, Ventura, CA 93003 Phone: 805-676-0022 | |
Mr. James Samuel Boldt, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 344 Lupine Way, Ventura, CA 93001 Phone: 805-643-4357 |