Ms Mara Stacey Goverman, LCSW is a
Social Worker - Clinical based in Solana Beach, California. Ms Mara Stacey Goverman is licensed to practice in California (license number 25944) and her current practice location is
415 N Highway 101, Suite C, Solana Beach, California. She can be reached at her office (for appointments etc.) via phone at
(619) 840-0015.
NPI number for Ms Mara Stacey Goverman is 1316271158 and her current mailing address is 4928 Hidden Dune Ct, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316271158.
Healthcare Provider's Profile
| Full Name | Ms Mara Stacey Goverman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 415 N Highway 101, Solana Beach, 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: 1316271158
- Provider Enumeration Date: 09/27/2009
- Last Update Date: 09/27/2009
Medical Identifiers
Medical identifiers for Ms Mara Stacey Goverman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316271158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 25944 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 25944 (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. Ms Mara Stacey Goverman 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 Mara Stacey Goverman, LCSW
4928 Hidden Dune Ct,
San Diego, CA 92130-2717
Ph: (858) 794-0015 | Ms Mara Stacey Goverman, LCSW
415 N Highway 101, Suite C,
Solana Beach, CA 92075-1172
Ph: (619) 840-0015 |
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