| Mr Modesto Gonzalez, ACSW | |
|
15720 Ventura Blvd Ste 520, Encino, CA 91436-4723 | |
| (323) 796-5885 | |
| Not Available |
| Full Name | Mr Modesto Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 15720 Ventura Blvd Ste 520, Encino, 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 |
|---|---|---|---|
| 1558072926 | NPI | - | NPPES |
| D7995159 | Other | CA | CALIFORNIA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 80776 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Find Your Balance Therapy Center And Family Services A Professional Co | 0941746556 | 2 |
| Entity Name | Find Your Balance Therapy Center & Family Services A Professional Cor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801405014 PECOS PAC ID: 0941746556 Enrollment ID: O20240719000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Modesto Gonzalez, ACSW 15720 Ventura Blvd, Encino, CA 91436-2914 Ph: (818) 927-0478 | Mr Modesto Gonzalez, ACSW 15720 Ventura Blvd Ste 520, Encino, CA 91436-4723 Ph: (323) 796-5885 |
Ms. Valerie Sadon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd., Suite 500, Encino, CA 91436 Phone: 310-966-6500 | |
Christa Jinn Cuison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478 | |
Mrs. Robyn Sue Sewitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Ste 403, Encino, CA 91436 Phone: 818-788-1404 Fax: 818-784-8069 | |
Ms. Eva Maria Westholm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15720 Ventura Blvd Ste 600, Encino, CA 91436 Phone: 818-906-0406 Fax: 818-906-1566 | |
Kelli Brooke Miller, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16542 Ventura Blvd, Suite 320, Encino, CA 91436 Phone: 818-395-5447 | |
Anne Levin Marsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17337 Ventura Blvd Ste 327, Encino, CA 91316 Phone: 818-521-3614 | |
Victoria Serratos, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478 Fax: 818-243-5431 |