Herlay Divine, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Guasti, California. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Soultenders Inc and her current practice location is
323 N Turner Ave Unit 1012, Guasti, California. You can reach out to her office (for appointments etc.) via phone at
(201) 456-4595.
Herlay Divine is licensed to practice in California (license number 121710) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497228431.
Healthcare Provider's Profile
| Full Name | Herlay Divine |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 323 N Turner Ave Unit 1012, Guasti, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Herlay Divine graduated from medical school in 2013
NPI Data:
- NPI Number: 1497228431
- Provider Enumeration Date: 01/02/2019
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567996317
- Enrollment ID: I20241115001154
Medical Identifiers
Medical identifiers for Herlay Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497228431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 121710 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Soultenders Inc | 6507170453 | 111 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Herlay Divine allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herlay Divine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Herlay Divine, LCSW
323 N Turner Ave Unit 1012,
Guasti, CA 91743-1603
Ph: (201) 456-4595 | Herlay Divine, LCSW
323 N Turner Ave Unit 1012,
Guasti, CA 91743-1603
Ph: (201) 456-4595 |
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