| Tabitha Maxfield, LICSW | |
|
11705 Alameda St, Lynwood, CA 90262-4023 | |
| (424) 565-6176 | |
| Not Available |
| Full Name | Tabitha Maxfield |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11705 Alameda St, Lynwood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366164709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29010 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 116540 (California) | Primary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240709003795 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Maxfield, LICSW 11705 Alameda St, Lynwood, CA 90262-4023 Ph: (424) 565-6176 | Tabitha Maxfield, LICSW 11705 Alameda St, Lynwood, CA 90262-4023 Ph: (424) 565-6176 |
Shannon Giovanna Doss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3736 Palm Ave, Lynwood, CA 90262 Phone: 424-232-2795 |
Kelly Allin Perez, MSW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy Ste And240, Lynwood, CA 90262 Phone: 323-769-7164 |
Malik Summers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11705 Deputy Yamamoto Pl, Lynwood, CA 90262 Phone: 323-242-5000 |
Eloina Hoffman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 1553, Lynwood, CA 90262 Phone: 323-380-0636 |
Tracy Flores Peeples, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-631-8004 Fax: 310-631-5875 |
Yessica Yesenia De Leon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy, Lynwood, CA 90262 Phone: 213-637-5000 |
Yesenia Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2620 Industry Way, Lynwood, CA 90262 Phone: 310-667-4070 |