| Mr Christopher Todd Holder, LCSW | |
|
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
| (909) 237-0215 | |
| (470) 200-6625 |
| Full Name | Mr Christopher Todd Holder |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 850 E Foothill Blvd, Rialto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467502336 | NPI | - | NPPES |
| 4898 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17021 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | 26409 (California) | Secondary |
| Entity Name | County Of San Bernardino |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Todd Holder, LCSW Po Box 8561, Alta Loma, CA 91701-0561 Ph: (909) 237-0217 | Mr Christopher Todd Holder, LCSW 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 237-0215 |
Kelli Evelyn Ensman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 East Foothill Blvd, Rialto, CA 92376 Phone: 909-421-4633 | |
Metra Jaberi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-454-4401 | |
Miss Regina Joanna Peacock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5822 Olive Ave, Rialto, CA 92377 Phone: 909-831-0446 | |
Anna Teresa Mejia, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-921-9452 | |
Mrs. Erica Valdez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9452 Fax: 909-421-4686 | |
Erica Decker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9270 | |
Ms. Brenda Joy Sillsbury, CADC-II, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9241 |