Jill Gravois, LCSW | |
4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 | |
(562) 708-1068 | |
Not Available |
Full Name | Jill Gravois |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4902 Irvine Center Dr Ste 203, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053540575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW81112 (California) | Primary |
Entity Name | Thriveworks Clinical - California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008 |
Mailing Address | Practice Location Address |
---|---|
Jill Gravois, LCSW 4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 Ph: (562) 708-1068 | Jill Gravois, LCSW 4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 Ph: (562) 708-1068 |
Linjun Zhang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Calypso, Irvine, CA 92618 Phone: 949-533-9073 | |
Jessica Elizabeth Bychawski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Student Health, Irvine, CA 92697 Phone: 949-824-7747 | |
Corinne Humphries, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15615 Alton Pkwy Ste 230, Irvine, CA 92618 Phone: 949-528-6300 Fax: 855-779-3627 | |
Megan Soun, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15333 Culver Dr, Ste 340 #2392, Irvine, CA 92604 Phone: 949-257-2260 | |
Mrs. Shelia Devaughn Duncan Wheeler, LCSW-C, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-782-7064 Fax: 888-972-6562 | |
Ilana S Rosenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 Student Services I, Irvine, CA 92697 Phone: 949-824-6457 |