| Jasmine Roberts, LCSW | |
|
14726 Ramona Ave, Chino, CA 91710-5730 | |
| (909) 685-5753 | |
| Not Available |
| Full Name | Jasmine Roberts |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 14726 Ramona Ave, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164292744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 119430 (California) | Primary |
| Entity Name | Mainline Family Counseling Service Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124697164 PECOS PAC ID: 9032555263 Enrollment ID: O20240311002657 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Roberts, LCSW Po Box 1451, Pomona, CA 91769-1451 Ph: () - | Jasmine Roberts, LCSW 14726 Ramona Ave, Chino, CA 91710-5730 Ph: (909) 685-5753 |
Maggie Valderrama, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6932 Castor St, Chino, CA 91710 Phone: 760-831-8481 | |
Bradlianne Reighter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7731 Garden Park St, Chino, CA 91708 Phone: 909-815-3722 | |
Mrs. Jasmin Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Susan Lee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 714-872-6964 | |
Robert Gipson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13193 Central Ave, Chino, CA 91710 Phone: 909-464-9675 | |
Elizabeth Johnson X, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Mrs. Susan Montoya-bell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13193 Central Ave Ste 200, Chino, CA 91710 Phone: 909-902-9111 Fax: 909-902-9199 |