| Jamie Grace Harmon, LCSW | |
|
17862 17th St Ste 107, Tustin, CA 92780-2170 | |
| (949) 812-8612 | |
| Not Available |
| Full Name | Jamie Grace Harmon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 17862 17th St Ste 107, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730201203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27460 (California) | Primary |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Grace Harmon, LCSW 29 Skywood St, Ladera Ranch, CA 92694-0233 Ph: () - | Jamie Grace Harmon, LCSW 17862 17th St Ste 107, Tustin, CA 92780-2170 Ph: (949) 812-8612 |
Christina Thao Mi Dinh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St, Tustin, CA 92780 Phone: 800-597-7977 | |
Kimberly Torres, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 | |
Eva Marie Verdult, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12575 Newport Ave Ste A, Tustin, CA 92780 Phone: 714-368-0350 Fax: 714-368-0344 | |
Mr. Glenn George Stevenson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17662 Irvine Blvd, Ste 7, Tustin, CA 92780 Phone: 714-468-9963 Fax: 714-636-9696 | |
Ms. Linda Mcfadden, LCSW MFCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17411 Irvine Blvd, Suite K, Tustin, CA 92780 Phone: 714-832-5775 | |
Rafael Lopez Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd, Ste 300, Tustin, CA 92780 Phone: 714-957-1004 | |
Karina Arredondo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 |