| Shareela Marie Allen, | |
|
6791 N. Ofeila Drive, San Bernardino, CA 92407 | |
| (909) 900-6746 | |
| Not Available |
| Full Name | Shareela Marie Allen |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 6791 N. Ofeila Drive, San Bernardino, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578793337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 82993 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904019620 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Change Therapeutic Services Inc | 3072914746 | 4 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Change Therapeutic Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134718042 PECOS PAC ID: 3072914746 Enrollment ID: O20210701002264 |
| 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 |
|---|---|
| Shareela Marie Allen, 6791 N Ofelia Dr, San Bernardino, CA 92407-1949 Ph: (909) 900-6746 | Shareela Marie Allen, 6791 N. Ofeila Drive, San Bernardino, CA 92407 Ph: (909) 900-6746 |
Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 | |
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643 | |
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940 | |
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 | |
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191 | |
Heidie Kay Page, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 Fax: 909-387-7717 | |
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 |