Ms Ingrid Lissette Peralta, MSW is a
Social Worker - School based in Phelan, California. Ms Ingrid Lissette Peralta is licensed to practice in * (Not Available) (license number ) and her current practice location is
4075 Nielson Rd, Phelan, California. She can be reached at her office (for appointments etc.) via phone at
(760) 868-5817.
NPI number for Ms Ingrid Lissette Peralta is 1922522598 and her current mailing address is 4075 Nielson Rd, Phelan, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922522598.
Healthcare Provider's Profile
Full Name | Ms Ingrid Lissette Peralta |
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Gender | Female |
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Speciality | Social Worker - School |
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Location | 4075 Nielson Rd, Phelan, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922522598
- Provider Enumeration Date: 07/26/2017
- Last Update Date: 08/27/2025
Medical Identifiers
Medical identifiers for Ms Ingrid Lissette Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922522598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041S0200X | Social Worker - School | (* (Not Available)) | 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. Ms Ingrid Lissette Peralta 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 |
Ms Ingrid Lissette Peralta, MSW 4075 Nielson Rd, Phelan, CA 92371-8896 Ph: (760) 868-5817 | Ms Ingrid Lissette Peralta, MSW 4075 Nielson Rd, Phelan, CA 92371-8896 Ph: (760) 868-5817 |
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