| Tisa Rae Garrison, LCSW | |
|
1425 1/2 Letts Ave, Corcoran, CA 93212-2717 | |
| (559) 762-7044 | |
| Not Available |
| Full Name | Tisa Rae Garrison |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 1425 1/2 Letts Ave, Corcoran, 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 |
|---|---|---|---|
| 1265684054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 21176 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Insight Wellness Center | 8426464124 | 12 |
| Entity Name | Insight Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861026916 PECOS PAC ID: 8426464124 Enrollment ID: O20210303003347 |
| 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 |
|---|---|
| Tisa Rae Garrison, LCSW 620 Carriage Ct, Nevada, MO 64772-3079 Ph: (760) 985-0982 | Tisa Rae Garrison, LCSW 1425 1/2 Letts Ave, Corcoran, CA 93212-2717 Ph: (559) 762-7044 |
Ms. Liza V Maravilla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Avenue, Corcoran, CA 93212 Phone: 559-992-7100 Fax: 559-992-7104 | |
Carina Cristal Angel, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-362-1624 | |
Reba Kimber-nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 661-817-2896 | |
Mr. Anthony Valdez Casillas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-992-8800 Fax: 559-992-7341 | |
Sarah Yang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 559-202-3997 | |
Tiffany Jean Sparks-mendoza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave., Corcoran, CA 93212 Phone: 559-992-8800 |