| Mrs Anqoinette Crowder-jones, MSW | |
|
1605 W. Pacific Coast Hwy 175, Wilmington, CA 90744-1866 | |
| (323) 568-4671 | |
| Not Available |
| Full Name | Mrs Anqoinette Crowder-jones |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1605 W. Pacific Coast Hwy 175, Wilmington, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922370311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24819 (California) | Primary |
| Entity Name | Blue Moon Senior Counseling Of California Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Anqoinette Crowder-jones, MSW 1605 W Pacific Coast Hwy Apt 175, Wilmington, CA 90744-1866 Ph: () - | Mrs Anqoinette Crowder-jones, MSW 1605 W. Pacific Coast Hwy 175, Wilmington, CA 90744-1866 Ph: (323) 568-4671 |
Ms. Josephine Marlene Servin, L.C.S.W Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 E Anaheim St, Wilmington, CA 90744 Phone: 310-522-8700 | |
Mr. Christopher Charles Reardon, CADC, LADC II Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1318 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-549-2710 | |
Dr. Katrina R Millet, LCSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Anaheim St Ste 8, Wilmington, CA 90744 Phone: 310-872-3560 |