| Mrs Donna Mann, LCSW | |
|
3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | |
| (909) 425-7000 | |
| (909) 307-6405 |
| Full Name | Mrs Donna Mann |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3102 E. Highland Avenue, Patton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083882773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS21506 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Entity Name | Inlandpsych Redlands Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053575738 PECOS PAC ID: 0749337467 Enrollment ID: O20090416000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Donna Mann, LCSW 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7000 | Mrs Donna Mann, LCSW 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7000 |
Debra F Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Michael Dale Dewit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7000 | |
Jose J Quiroz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Grace D Dobey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Mario Ann Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Veronica Dolores Kaufman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 |