| Thu My Phan, LCSW | |
|
47825 Oasis St, Indio, CA 92201-6950 | |
| (760) 863-8145 | |
| Not Available |
| Full Name | Thu My Phan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 47825 Oasis St, 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 |
|---|---|---|---|
| 1235750498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-4466 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 88715 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Thu My Phan, LCSW 47825 Oasis St, Indio, CA 92201-6950 Ph: (760) 863-8145 | Thu My Phan, LCSW 47825 Oasis St, Indio, CA 92201-6950 Ph: (760) 863-8145 |
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 | |
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 | |
Haysee Zarazua, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8650 |