| Krista Edwards, | |
|
10731 Collett Ave, Riverside, CA 92505-2923 | |
| (951) 990-8609 | |
| Not Available |
| Full Name | Krista Edwards |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10731 Collett Ave, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841992732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21848 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW85884 (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 |
| Entity Name | Sondermind PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003646977 PECOS PAC ID: 0547795791 Enrollment ID: O20250127000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Edwards, Po Box 7532, Riverside, CA 92513-7532 Ph: (951) 990-8606 | Krista Edwards, 10731 Collett Ave, Riverside, CA 92505-2923 Ph: (951) 990-8609 |
Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 |
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3499 10th St, Riverside, CA 92501 Phone: 951-955-1560 |
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000 |
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752 |
Jonathan Christopher Solomon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Orange St, Riverside, CA 92501 Phone: 951-955-4545 |
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780 |
Karina V Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4164 Brockton Ave, Riverside, CA 92501 Phone: 951-683-5193 |