| Ms Josephine Marlene Servin, LCSW | |
|
200 E Anaheim St, Wilmington, CA 90744 | |
| (310) 522-8700 | |
| Not Available |
| Full Name | Ms Josephine Marlene Servin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 200 E Anaheim St, 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 |
|---|---|---|---|
| 1053435016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMS088991 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW23760 (California) | Primary |
| Entity Name | Northeast Community Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Josephine Marlene Servin, LCSW 2550 W Main St Ste 301, Alhambra, CA 91801-7003 Ph: (626) 457-6900 | Ms Josephine Marlene Servin, LCSW 200 E Anaheim St, Wilmington, CA 90744 Ph: (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 | |
Mrs. Anqoinette Crowder-jones, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1605 W. Pacific Coast Hwy 175, Wilmington, CA 90744 Phone: 323-568-4671 |