| Michelle Stark, LCSW | |
|
41419 Pear St, Ste 1, Murrieta, CA 92562-7016 | |
| (909) 999-0153 | |
| Not Available |
| Full Name | Michelle Stark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 41419 Pear St, Murrieta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972990067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22497 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7505 (Tennessee) | Primary |
| Entity Name | Tp-health Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336785187 PECOS PAC ID: 9638592082 Enrollment ID: O20200702000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Stark, LCSW Po Box 285, Murrieta, CA 92564-0285 Ph: (909) 225-9872 | Michelle Stark, LCSW 41419 Pear St, Ste 1, Murrieta, CA 92562-7016 Ph: (909) 999-0153 |
Austin D Chavira, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24275 Jefferson Ave, Murrieta, CA 92562 Phone: 951-677-5599 | |
Megan Cordaro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24640 Jefferson Ave Ste 206, Murrieta, CA 92562 Phone: 951-347-0986 | |
Ms. Carol Farr, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40680 California Oaks Rd, Ste 2-d, Murrieta, CA 92562 Phone: 951-304-0882 Fax: 951-304-0884 | |
Tristan Howard Randall, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 29995 Technology Dr Ste 306, Murrieta, CA 92563 Phone: 442-327-9311 Fax: 442-327-9315 | |
Mrs. Alexia Padla Garcia, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25170 Hancock Ave, Murrieta, CA 92562 Phone: 951-461-9300 | |
Mr. David Cervantes Hernandez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28062 Baxter Rd Ste 230, Murrieta, CA 92563 Phone: 951-290-6530 | |
Arcelito Aggabao Glorioso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38618 Falkirk Dr, Murrieta, CA 92563 Phone: 415-537-0640 |