| Susan Marie Hannon, LCSW | |
|
81812 Doctor Carreon Blvd Ste D, Indio, CA 92201-5594 | |
| (760) 647-7676 | |
| (760) 347-0909 |
| Full Name | Susan Marie Hannon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 81812 Doctor Carreon Blvd Ste D, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518222488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 20199 (California) | Primary |
| Entity Name | Tobias Moeller-bertram Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Marie Hannon, LCSW 81812 Doctor Carreon Blvd Ste D, Indio, CA 92201-5594 Ph: (760) 647-7676 | Susan Marie Hannon, LCSW 81812 Doctor Carreon Blvd Ste D, Indio, CA 92201-5594 Ph: (760) 647-7676 |
Ms. Suzanne Lucretia Garrison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8585 | |
Noelia Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-898-1884 | |
Anthony Reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46883 Monroe St, Indio, CA 92201 Phone: 760-398-8800 | |
Maria Guadalupe Chavez-brown, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 83445 Wagon Rd, Indio, CA 92203 Phone: 760-574-3514 | |
Mitchell Blum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50385 Logan Creek Dr, Indio, CA 92201 Phone: 760-708-1482 | |
Mr. Alfredo M. Huerta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-863-8455 Fax: 760-863-8587 | |
Heather Torres, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8628 |