| Jacquelyn Renee Williams Brooks, LCSW | |
|
15497 W Sand St, Victorville, CA 92392-2910 | |
| (760) 875-5000 | |
| Not Available |
| Full Name | Jacquelyn Renee Williams Brooks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15497 W Sand St, 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 |
|---|---|---|---|
| 1033731518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 80935 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| 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 |
|---|---|
| Jacquelyn Renee Williams Brooks, LCSW 41045 Riverock Ln, Palmdale, CA 93551-1833 Ph: (661) 916-4549 | Jacquelyn Renee Williams Brooks, LCSW 15497 W Sand St, Victorville, CA 92392-2910 Ph: (760) 875-5000 |
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 | |
Eric Bahra, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14390 Park Ave, Victorville, CA 92392 Phone: 714-290-3009 | |
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 |