| Sandra Palacios Quinonez, | |
|
9650 Zelzah Ave, Northridge, CA 91325 | |
| (818) 993-9311 | |
| Not Available |
| Full Name | Sandra Palacios Quinonez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9650 Zelzah Ave, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437551223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW83632 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | ASW63884 (California) | Secondary |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Palacios Quinonez, 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311 | Sandra Palacios Quinonez, 9650 Zelzah Ave, Northridge, CA 91325 Ph: (818) 993-9311 |
Angela Ponce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Rupal Mankassarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Faith Lee Chin, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9935 Lindley Ave, Northridge, CA 91325 Phone: 818-395-2557 | |
Melissa Arce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Denice Castellon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd Ste 150, Northridge, CA 91325 Phone: 818-830-0200 | |
Jasmin Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Lisa Tockman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 |