| Ms Maria Magdalena Cervantes, LCSW | |
|
701 Scofield Ave, Wasco, CA 93280-7515 | |
| (661) 758-8400 | |
| Not Available |
| Full Name | Ms Maria Magdalena Cervantes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 701 Scofield Ave, Wasco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972661213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25927 (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 |
|---|---|
| Ms Maria Magdalena Cervantes, LCSW 701 Scofield Ave, Wasco, CA 93280-7515 Ph: (661) 758-8400 | Ms Maria Magdalena Cervantes, LCSW 701 Scofield Ave, Wasco, CA 93280-7515 Ph: (661) 758-8400 |
Mrs. Nimotalai Bukky Rufai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 | |
Derrick C Rufus, PSYD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 | |
Kathleen Teresa Poole, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Wasco State Prison, 701 Scofield Avenue, Wasco, CA 93280 Phone: 661-758-8400 | |
Maya Graciela Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 6th St, Wasco, CA 93280 Phone: 661-758-4029 Fax: 661-758-0891 | |
Barbara Ann Tongate, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 | |
Amanda Marie Valladares, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 | |
Mr. Lino Banuelos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 Fax: 661-758-7684 |