| Mr Alexander Spencer Edwards, MSW | |
| 
					900 Quebec Ave, Corcoran, CA 93212-9715  | |
| (805) 796-1894 | |
| (818) 800-3643 | 
| Full Name | Mr Alexander Spencer Edwards | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker | 
| Location | 900 Quebec Ave, Corcoran, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629109269 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW28987 (California) | Secondary | 
| 104100000X | Social Worker | LCSW28987 (California) | Primary | 
| Entity Name | Tri-state Community Healthcare Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922356369 PECOS PAC ID: 5597991968 Enrollment ID: O20131114000307  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Alexander Spencer Edwards, MSW Po Box 691, Corcoran, CA 93212-0691 Ph: (805) 796-1894  | Mr Alexander Spencer Edwards, MSW 900 Quebec Ave, Corcoran, CA 93212-9715 Ph: (805) 796-1894  | 
Ms. Liza V Maravilla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Avenue, Corcoran, CA 93212 Phone: 559-992-7100 Fax: 559-992-7104  | |
Carina Cristal Angel, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-362-1624  | |
Tisa Rae Garrison, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1425 1/2 Letts Ave, Corcoran, CA 93212 Phone: 559-762-7044  | |
Reba Kimber-nelson,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 661-817-2896  | |
Mr. Anthony Valdez Casillas,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-992-8800 Fax: 559-992-7341  | |
Sarah Yang,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 559-202-3997  | |
Tiffany Jean Sparks-mendoza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave., Corcoran, CA 93212 Phone: 559-992-8800  |