| Imari Kowalski, LCSW | |
|
3200 E Guasti Rd Ste 100, Ontario, CA 91761-8661 | |
| (909) 366-4712 | |
| Not Available |
| Full Name | Imari Kowalski |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3200 E Guasti Rd Ste 100, Ontario, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447785597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801118862 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101494 (California) | Primary |
| Entity Name | Silver Lake Psychology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932651817 PECOS PAC ID: 7012250582 Enrollment ID: O20190524000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Imari Kowalski, LCSW 3001 Goodrich St, Ferndale, MI 48220-1072 Ph: Not Available | Imari Kowalski, LCSW 3200 E Guasti Rd Ste 100, Ontario, CA 91761-8661 Ph: (909) 366-4712 |
Sandra Quezada, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2602 E Towhee St, Ontario, CA 91761 Phone: 909-815-2964 |
Miss Veronica J Camacho, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1316 |
Miss Sally Amaya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4684 Ontario Mills Pkwy Ste 200, Ontario, CA 91764 Phone: 909-667-0896 |
Carlos Galvan Morales, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 980 W 6th St Ste 124, Ontario, CA 91762 Phone: 909-648-8075 |
Ms. Giselle Marie Salas, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 S Mountain Ave Unit 1, Ontario, CA 91762 Phone: 951-213-1432 |
Mrs. Kimberly A Esse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 N Via Dolcetto, Ontario, CA 91764 Phone: 909-266-7442 |
Jermaine Bennett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1350 Fax: 909-579-8149 |