| Jennifer Welty, | |
|
1500 Duarte Rd, Duarte, CA 91010-3012 | |
| (626) 218-2282 | |
| (626) 930-5331 |
| Full Name | Jennifer Welty |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1500 Duarte Rd, Duarte, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689714701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 28519 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS 28519 (California) | Primary |
| 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 |
|---|---|
| Jennifer Welty, 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 218-2282 | Jennifer Welty, 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 218-2282 |
Ying Moua, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-218-2504 | |
Molly Garber, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2502 E. Huntington Dr., Duarte, CA 91010 Phone: 626-263-9188 | |
Ms. Rupinder Kaur Sidhu, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 | |
Mr. Gregory Flaxman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-218-1537 | |
Kimberly Ann Romig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-218-2282 | |
Maria Carmen Ayala, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2502 E. Huntington Dr, Duarte, CA 91010 Phone: 626-328-0663 | |
Courtney Bitz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-218-2125 |