| Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc | |
|
6200 Canoga Ave Ste 210 Woodland Hills CA 91367-7794 | |
| (818) 949-8866 | |
| (818) 350-2988 |
| Full Name | Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6200 Canoga Ave Ste 210, Woodland Hills, California |
| Authorized Official Name and Position | Jennifer Rose Mauceri (LCSW) |
| Authorized Official Contact | 6466942434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc 6200 Canoga Ave Ste 210 Woodland Hills CA 91367-7794 Ph: (818) 949-8866 | Intuitive Psychotherapy Associates, Licensed Clinical Social Worker Pc 6200 Canoga Ave Ste 210 Woodland Hills CA 91367-7794 Ph: (818) 949-8866 |
| NPI Number | 1215495551 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Medicare PECOS PAC ID | 3577897099 |
|---|---|
| Medicare Enrollment ID | O20190702003148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215495551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Mauceri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538484670 PECOS PAC ID: 4486988904 Enrollment ID: I20190702003266 |
| Provider Name | Colleen Dawn Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992059471 PECOS PAC ID: 3476945908 Enrollment ID: I20220113001097 |
| Provider Name | Shonta Roychelle Jones-cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093913733 PECOS PAC ID: 9537516208 Enrollment ID: I20231117001092 |
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