| Wellworth Health, Inc. | |
|
3523 Crowell St San Diego CA 92103-4729 | |
| (760) 390-2698 | |
| Not Available |
| Full Name | Wellworth Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3523 Crowell St, San Diego, California |
| Authorized Official Name and Position | Maria Mellano (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 6179133898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellworth Health, Inc. 3523 Crowell St San Diego CA 92103-4729 Ph: (760) 390-2698 | Wellworth Health, Inc. 3523 Crowell St San Diego CA 92103-4729 Ph: (760) 390-2698 |
| NPI Number | 1568224970 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 7911428016 |
|---|---|
| Medicare Enrollment ID | O20250305002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568224970 | NPI | - | NPPES |
| Provider Name | Kellie E Branch-dircks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255528204 PECOS PAC ID: 5991874257 Enrollment ID: I20080513000606 |
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