| Joseph Tyler Antico, LCSW | |
|
36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 | |
| (760) 321-1315 | |
| Not Available |
| Full Name | Joseph Tyler Antico |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 36101 Bob Hope Dr Ste A, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922754696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 122771 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Tyler Antico, LCSW 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315 | Joseph Tyler Antico, LCSW 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270-2001 Ph: (760) 321-1315 |
Ms. Norma Zapata, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1239 | |
Mrs. Michelle Mcdaniel, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36101 Bob Hope Dr Ste A, Rancho Mirage, CA 92270 Phone: 760-321-1315 Fax: 760-321-1094 | |
Mr. David Randall Meadows, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 41750 Rancho Las Palmas Dr, Ste K-1, Rancho Mirage, CA 92270 Phone: 323-363-9237 | |
Mr. Jorge Alejandro Martinez, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41750 Rancho Las Palmas Dr Ste O-2, Rancho Mirage, CA 92270 Phone: 760-323-6511 | |
Cheryl R Hoffman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39407 Vista Del Sol, Rancho Mirage, CA 92270 Phone: 949-274-3499 | |
Christine M Piddington, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 71847 Ca-111, Bldg A, Rancho Mirage, CA 92270 Phone: 760-218-2816 | |
Mr. Terry Michael Cummings, LICENSED CLINICAL SO Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71-777 San Jacinto Drive, Suite 204, Rancho Mirage, CA 92270 Phone: 760-285-5043 Fax: 760-345-7423 |