| Ms Nancy Ivette Bautista, LCSW | |
|
1818 W Beverly Blvd Ste 207, Montebello, CA 90640-3968 | |
| (562) 385-5532 | |
| Not Available |
| Full Name | Ms Nancy Ivette Bautista |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1818 W Beverly Blvd Ste 207, Montebello, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508100629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 79400 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nancy Ivette Bautista, LCSW 1818 W Beverly Blvd Ste 207, Montebello, CA 90640-3968 Ph: (562) 385-5532 | Ms Nancy Ivette Bautista, LCSW 1818 W Beverly Blvd Ste 207, Montebello, CA 90640-3968 Ph: (562) 385-5532 |
Maria Martha Alvarez Arriaga, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3124 W Beverly Blvd, Montebello, CA 90640 Phone: 877-462-7735 |
Eloisa Padilla, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2021 Southside Dr, Montebello, CA 90640 Phone: 626-488-3941 |
George Caballero, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 W Beverly Blvd, Suite 209, Montebello, CA 90640 Phone: 323-255-9421 Fax: 323-344-9084 |
Lisa Lopez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 N 12th St, Montebello, CA 90640 Phone: 323-716-5932 |
Tatevik Mejia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 1274, Montebello, CA 90640 Phone: 323-314-6264 |
Mrs. Hilary Jenny Villarreal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1623 Paramount Blvd, Montebello, CA 90640 Phone: 323-722-8744 Fax: 323-722-0813 |
Ms. Lauren Michele Greeley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1702 S Bradbury Dr, Montebello, CA 90640 Phone: -- |