Lourdes Nungaray Quezada, is a
Social Worker - Clinical based in Fresno, California. Lourdes Nungaray Quezada is licensed to practice in California (license number 124560) and her current practice location is
2560 W Shaw Ln Ste 104, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 443-4800.
NPI number for Lourdes Nungaray Quezada is 1821697970 and her current mailing address is 2560 W Shaw Ln Ste 104, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821697970.
Healthcare Provider's Profile
| Full Name | Lourdes Nungaray Quezada |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2560 W Shaw Ln Ste 104, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821697970
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 08/14/2024
Medical Identifiers
Medical identifiers for Lourdes Nungaray Quezada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821697970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW96329 (California) | Secondary |
| 104100000X | Social Worker | 96329 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 124560 (California) | Primary |
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. Lourdes Nungaray Quezada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lourdes Nungaray Quezada,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4800 | Lourdes Nungaray Quezada,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4800 |
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