| Ms Lisa M Goodwin, LCSW | |
|
1126 N Grand Ave, Suite D, Covina, CA 91724-1551 | |
| (626) 967-1667 | |
| (626) 967-6027 |
| Full Name | Ms Lisa M Goodwin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1126 N Grand Ave, Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457490617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 22609 (California) | Primary |
| Entity Name | Masonic Homes Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114111317 PECOS PAC ID: 4183625361 Enrollment ID: O20200709000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa M Goodwin, LCSW 2925 Buckhaven Rd, Chino Hills, CA 91709-4363 Ph: (909) 896-2971 | Ms Lisa M Goodwin, LCSW 1126 N Grand Ave, Suite D, Covina, CA 91724-1551 Ph: (626) 967-1667 |
Jolyn Davidson, RN, LCSW, DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1338 Center Court Dr, Suite 102, Covina, CA 91724 Phone: 626-339-2140 | |
Christie Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 E Rowland St, Covina, CA 91723 Phone: 626-332-3145 | |
Mannya Rajesh Sharma, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1085 W Badillo St, Covina, CA 91722 Phone: 626-332-8138 Fax: 626-332-0433 | |
Amy Tam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 N Grand Ave Ste 100, Covina, CA 91724 Phone: 626-395-7100 | |
Mary Ellen Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-859-2089 Fax: 626-859-6537 | |
Ms. Vanessa Linda Cruz Torres, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-422-8033 Fax: 626-859-6537 | |
Ms. Rosa Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2901 |