| Progressive Movement Inc. | |
|
18484 Us Highway 18 Ste 210 Apple Valley CA 92307-2319 | |
| (760) 946-9133 | |
| (760) 946-9110 |
| Full Name | Progressive Movement Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 18484 Us Highway 18 Ste 210, Apple Valley, California |
| Authorized Official Name and Position | Teri M Martin (LCSW) |
| Authorized Official Contact | 7609469133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Movement Inc. 18484 Us Highway 18 Ste 210 Apple Valley CA 92307-2319 Ph: (760) 946-9133 | Progressive Movement Inc. 18484 Us Highway 18 Ste 210 Apple Valley CA 92307-2319 Ph: (760) 946-9133 |
| NPI Number | 1720736473 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 09/29/2026 |
| Certification Date | 09/25/2026 |
| Medicare PECOS PAC ID | 3870970379 |
|---|---|
| Medicare Enrollment ID | O20220523002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720736473 | NPI | - | NPPES |
| LCSW-101451 | Other | CA | BBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Teri M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174835409 PECOS PAC ID: 0244625135 Enrollment ID: I20220310002123 |
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