| Heale, A Professional Licensed Clinical Social Work Corporation | |
|
420 Downey Ave Modesto CA 95354-1301 | |
| (209) 450-8037 | |
| Not Available |
| Full Name | Heale, A Professional Licensed Clinical Social Work Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 420 Downey Ave, Modesto, California |
| Authorized Official Name and Position | Melissa D Hale (DIRECTOR, OWNER) |
| Authorized Official Contact | 2094508037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heale, A Professional Licensed Clinical Social Work Corporation 3848 Mchenry Ave Ste 135-123 Modesto CA 95356-1586 Ph: (209) 450-8037 | Heale, A Professional Licensed Clinical Social Work Corporation 420 Downey Ave Modesto CA 95354-1301 Ph: (209) 450-8037 |
| NPI Number | 1720736374 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 02/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720736374 | NPI | - | NPPES |
| 1700125705 | Medicaid | CA | |
| 1346908167 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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