| Mr Norberto Mata Carlos, LCSW | |
|
41715 Winchester Rd, Temecula, CA 92590-4808 | |
| (951) 719-1414 | |
| Not Available |
| Full Name | Mr Norberto Mata Carlos |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 41715 Winchester Rd, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275622672 | NPI | - | NPPES |
| FB076Z | Other | CA | MEDICARE PTAN |
| W14158 | Other | CA | FACILITY PTAN |
| ZZZ20041Z | Other | CA | FACILITY PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS24788 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Norberto Mata Carlos, LCSW 425 N Date St, Escondido, CA 92025-3413 Ph: (760) 737-6960 | Mr Norberto Mata Carlos, LCSW 41715 Winchester Rd, Temecula, CA 92590-4808 Ph: (951) 719-1414 |
Elyce Darcell Mandich, MSW, LCSW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27215 Nicolas Rd, Temecula, CA 92591 Phone: 951-401-0533 | |
Melanie Lynne Goldman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31170 Temecula Pkwy Ste 200, Temecula, CA 92592 Phone: 858-576-1700 | |
Elizabeth Carisa Kunkle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31537 Rancho Pueblo Rd Ste 102, Temecula, CA 92592 Phone: 833-867-4642 Fax: 360-462-2751 | |
Rebecca Cravens Saville, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 44876 Corte Casa, Temecula, CA 92592 Phone: 951-333-1776 | |
Heidi Gergurich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43082 Pudding Ct, Temecula, CA 92592 Phone: 951-387-8039 | |
Genesis Nohemi Arias, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29748 Rancho California Rd, Temecula, CA 92591 Phone: 951-252-9911 | |
Jennifer Bolden, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41593 Winchester Rd Ste 150, Temecula, CA 92590 Phone: 951-775-3203 |