| Mrs Leticia Guillen, LCSW | |
|
1140 Main St, Livingston, CA 95334-1257 | |
| (209) 394-7913 | |
| (209) 394-3660 |
| Full Name | Mrs Leticia Guillen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1140 Main St, Livingston, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194851642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS29433 (California) | Primary |
| Entity Name | Livingston Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427110329 PECOS PAC ID: 8820084692 Enrollment ID: O20040426000617 |
| Entity Name | Cyti Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leticia Guillen, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-7913 | Mrs Leticia Guillen, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-7913 |
Ms. Martina Cisneros, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 | |
Ashley S Del Valle, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 B St Bldg B, Livingston, CA 95334 Phone: 833-850-3500 | |
Mrs. Angelica Maria Carranza, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 B St, Livingston, CA 95334 Phone: 209-850-3500 | |
Ms. Juliana Rose Rocha, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Nina Dhanota-mann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1804 Sun Valley Ave, Livingston, CA 95334 Phone: 209-489-9013 |