| Mr Grant David Clarke, LCSW | |
|
140 E Commonwealth Ave Ste 101, Fullerton, CA 92832-1905 | |
| (714) 773-4111 | |
| (714) 773-4222 |
| Full Name | Mr Grant David Clarke |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 140 E Commonwealth Ave Ste 101, Fullerton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689812265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS24617 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunny Hills Behavioral Health Inc | 0244299139 | 7 |
| Entity Name | Sunny Hills Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467551200 PECOS PAC ID: 0244299139 Enrollment ID: O20041006001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Grant David Clarke, LCSW 1925 Daly St, 2nd Floor, Los Angeles, CA 90031-3309 Ph: (323) 226-4448 | Mr Grant David Clarke, LCSW 140 E Commonwealth Ave Ste 101, Fullerton, CA 92832-1905 Ph: (714) 773-4111 |
Mr. Dennis Dion Durby, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 524 W Commonwealth Ave, Suite K, Fullerton, CA 92832 Phone: 714-680-0241 | |
Tammy Mckee, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 East Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7000 | |
Robert Alexis Chacon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7074 | |
Andrea Alexia Carrera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave Ste 203, Fullerton, CA 92831 Phone: 714-680-9000 | |
Christy C Molino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 N Highland Ave Apt 201, Fullerton, CA 92832 Phone: 310-722-3512 | |
Jene Moio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1370 Brea Blvd., Suite 210, Fullerton, CA 92835 Phone: 310-498-0107 | |
Adriana Cervantes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave Ste 203, Fullerton, CA 92831 Phone: 714-680-9000 |