| Ms Han Li, LCSW | |
|
1290 Tavern Rd, Mammoth Lakes, CA 93546-6601 | |
| (760) 924-1760 | |
| Not Available |
| Full Name | Ms Han Li |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 1290 Tavern Rd, Mammoth Lakes, 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 |
|---|---|---|---|
| 1326386830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 26329 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Mono | 8527045665 | 2 |
| Entity Name | County of Mono |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538266911 PECOS PAC ID: 8527045665 Enrollment ID: O20120420000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Han Li, LCSW 1290 Tavern Rd, Mammoth Lakes, CA 93546-6601 Ph: (760) 924-1740 | Ms Han Li, LCSW 1290 Tavern Rd, Mammoth Lakes, CA 93546-6601 Ph: (760) 924-1760 |
Sofia Carolina Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Rd, Mammoth Lakes, CA 93546 Phone: 760-924-1748 |
Mrs. Debra Grace Stewart, RAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Rd Ste 276, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 |
Danielle George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 Old Mammoth Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 |
Cassidy Leigh Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Rd, Mammoth Lakes, CA 93546 Phone: 760-924-1740 |
Dylan Scott Burditt, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1290 Tavern Rd, Mammoth Lakes, CA 93546 Phone: 760-924-1740 |
Cristina Dorothy Whitlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 Phone: 760-914-0754 |
Richard Charles Bonneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Rd, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 |