Venise Loraine Russ, | |
308 W 6th St Ste 109, Corona, CA 92882-3349 | |
(833) 867-4642 | |
(360) 462-5828 |
Full Name | Venise Loraine Russ |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 308 W 6th St Ste 109, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275062960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23081 (California) | Primary |
Entity Name | Neighborhood Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
Mailing Address | Practice Location Address |
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Venise Loraine Russ, 7601 Imperial Hwy # 601, Downey, CA 90242-3456 Ph: () - | Venise Loraine Russ, 308 W 6th St Ste 109, Corona, CA 92882-3349 Ph: (833) 867-4642 |
Mr. William Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Corona, CA 92880 Phone: 909-597-1771 | |
Johnnie Aldridge Ii, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 Fax: 951-279-5222 | |
Mrs. Jessica Lee Shears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22846 Hunters Ct, Corona, CA 92883 Phone: 626-826-6574 | |
Ana Fernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2190 Eveningwind Dr Apt 427, Corona, CA 92879 Phone: 951-415-1961 | |
Miss Muneerah Uqdah, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1451 Rimpau Ave Ste 215, Corona, CA 92879 Phone: 951-523-7409 Fax: 951-898-8334 | |
Michele L. Cyr, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1451 Rimpau Ave, Corona, CA 92879 Phone: 951-970-0372 Fax: 951-689-6288 | |
Mrs. Stephanie Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-898-7010 |