| Ms Martina Cisneros, LCSW | |
|
1140 Main St, Livingston, CA 95334-1257 | |
| (209) 394-7913 | |
| Not Available |
| Full Name | Ms Martina Cisneros |
|---|---|
| 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 |
|---|---|---|---|
| 1073760211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 69190 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 70335 (California) | Primary |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Martina Cisneros, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-7913 | Ms Martina Cisneros, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (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. Leticia Guillen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
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 |