| Tatiana Benton, | |
|
1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 | |
| (757) 375-2207 | |
| Not Available |
| Full Name | Tatiana Benton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1581 Corte Seville Unit 1, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518626977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 105457 (California) | Primary |
| Entity Name | Head Strong & Ready |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023587367 PECOS PAC ID: 2567700727 Enrollment ID: O20190213001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana Benton, 1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 Ph: (757) 375-2207 | Tatiana Benton, 1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 Ph: (757) 375-2207 |
Denise Flor Montes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Maxwell Rd, Chula Vista, CA 91911 Phone: 619-902-2453 | |
Mr. David Myrick, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 619-496-9792 | |
Isamar Camille Cortes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 H St Ste 3010, Chula Vista, CA 91910 Phone: 858-576-1700 | |
Danielle Arlene Slomka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1945 Discovery Falls Dr, Chula Vista, CA 91915 Phone: 619-786-3905 | |
Mr. Edwin Rodriguez, LCSW, CASAC-G Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1644 Maple Dr, Chula Vista, CA 91911 Phone: 914-882-8383 | |
Nina J. Segal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 4th Ave, Chula Vista, CA 91910 Phone: 619-259-3568 Fax: 619-431-2226 | |
Kelsey L Barbieri, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1741 Eastlake Pkwy Ste 102-122, Chula Vista, CA 91915 Phone: 760-454-7244 |