| The Shaffer Group | |
|
40315 Bellevue Dr Temecula CA 92591-7563 | |
| (951) 595-2764 | |
| Not Available |
| Full Name | The Shaffer Group |
|---|---|
| Speciality | Social Worker |
| Location | 40315 Bellevue Dr, Temecula, California |
| Authorized Official Name and Position | Stephanie Shaffer (PRESIDENT) |
| Authorized Official Contact | 9515952764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shaffer Group 40335 Winchester Rd Ste 280 Temecula CA 92591-5500 Ph: (951) 595-2764 | The Shaffer Group 40315 Bellevue Dr Temecula CA 92591-7563 Ph: (951) 595-2764 |
| NPI Number | 1689031817 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Medicare PECOS PAC ID | 6305256330 |
|---|---|
| Medicare Enrollment ID | O20201103002083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689031817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW27326 (California) | Primary |
| Provider Name | Stephanie J Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518242411 PECOS PAC ID: 5092978163 Enrollment ID: I20120530000234 |
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