Change Within Reach, Licensed Clinical Social Worker Corporation - Medicare Mental Health Clinic in Encino, CA

Change Within Reach, Licensed Clinical Social Worker Corporation is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Encino, California. The current practice location for Change Within Reach, Licensed Clinical Social Worker Corporation is 17777 Ventura Blvd Ste 105, Encino, California. For appointments, you can reach them via phone at (213) 445-2266. The mailing address for Change Within Reach, Licensed Clinical Social Worker Corporation is 17777 Ventura Blvd Ste 105, Encino, California and phone number is (213) 445-2266.

Change Within Reach, Licensed Clinical Social Worker Corporation is licensed to practice in California (license number LCSW28777). The clinic also participates in the medicare program and its NPI number is 1003207002. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 445-2266.

Contact Information

Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316
(213) 445-2266
(213) 908-1233

Mental Health Clinic Profile

Full NameChange Within Reach, Licensed Clinical Social Worker Corporation
SpecialityClinic/Center
Location17777 Ventura Blvd Ste 105, Encino, California
Authorized Official Name and PositionAnna Gershelis (PRESIDENT)
Authorized Official Contact2134452266
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316-3738

Ph: (213) 445-2266
Change Within Reach, Licensed Clinical Social Worker Corporation
17777 Ventura Blvd Ste 105
Encino
CA 91316

Ph: (213) 445-2266

NPI Details:

NPI Number1003207002
Provider Enumeration Date02/11/2015
Last Update Date05/23/2018

Medicare PECOS Information:

Medicare PECOS PAC ID2062723810
Medicare Enrollment IDO20150619000776

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Medical Identifiers

Medical identifiers for Change Within Reach, Licensed Clinical Social Worker Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003207002NPI-NPPES
1285901942MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health LCSW28777 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Change Within Reach, Licensed Clinical Social Worker Corporation acts as a billing entity for following providers:
Provider NameSarah A Schwartz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083927651
PECOS PAC ID: 3375707235
Enrollment ID: I20120606000272

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Provider NameKim Boykin-johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689987281
PECOS PAC ID: 8729226006
Enrollment ID: I20130528000266

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Provider NameAnna Gershelis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285901942
PECOS PAC ID: 5092624130
Enrollment ID: I20140313000489

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Provider NameIrene S Fruchtbaum
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1386081743
PECOS PAC ID: 7911226808
Enrollment ID: I20150427001276

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Provider NameLori L Menendyan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619304367
PECOS PAC ID: 8820308802
Enrollment ID: I20151103001549

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Provider NameCynthia Stevens
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508014143
PECOS PAC ID: 7315241874
Enrollment ID: I20160204000444

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Provider NameShully Salman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1558695049
PECOS PAC ID: 6406162650
Enrollment ID: I20160321001264

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Provider NameMary Eileen Cronin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518050855
PECOS PAC ID: 4082912431
Enrollment ID: I20160418002340

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Provider NameJacqueline Nicole Parodi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508982901
PECOS PAC ID: 0941591754
Enrollment ID: I20160627001245

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Provider NameWilliam W Kaiser
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275650095
PECOS PAC ID: 2860776655
Enrollment ID: I20170222001497

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Provider NameTimothy Paul Encinas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982953303
PECOS PAC ID: 2860769767
Enrollment ID: I20170525000019

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Provider NameJonathan David Perlman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144747122
PECOS PAC ID: 4486913092
Enrollment ID: I20180104001786

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Provider NameJennifer A Frank
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164776019
PECOS PAC ID: 5890049761
Enrollment ID: I20181112001720

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Provider NameDarya Potyagova
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770052698
PECOS PAC ID: 1658618186
Enrollment ID: I20190122003351

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Provider NameMichelle Renee Kuranishi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437526738
PECOS PAC ID: 1658618665
Enrollment ID: I20190129003816

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Provider NameDeborah Teyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811468820
PECOS PAC ID: 1456693225
Enrollment ID: I20190425002847

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Provider NameNancy Lazar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053862433
PECOS PAC ID: 8628496262
Enrollment ID: I20200915001336

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Provider NameWilliam C Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649659152
PECOS PAC ID: 6901299684
Enrollment ID: I20220201001182

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Provider NameDebbie Grace Lugtu
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1396333266
PECOS PAC ID: 5294171807
Enrollment ID: I20240306000526

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Provider NameEva Eduarte
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1033759329
PECOS PAC ID: 3375989932
Enrollment ID: I20240306002090

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Clinic/Center in Encino, CA

Karen L . Vause Md Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 16677 Calneva Dr, Encino, CA 91436
Phone: 818-995-0640    Fax: 818-881-7566
Bright Minds Developmental Center
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Medicare: Not Enrolled in Medicare
Practice Location: 17421 Collins St, Encino, CA 91316
Phone: 818-457-1117    
Bernard M Kirzner Md Inc
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Medicare: Medicare Enrolled
Practice Location: 6345 Balboa Blvd, Suite 245, Encino, CA 91316
Phone: 818-881-4800    Fax: 818-881-4810
Act Health & Wellness Clinic
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 15760 Ventura Blvd, Suite 920, Encino, CA 91436
Phone: 818-884-8100    Fax: 818-884-7808
Path To Healing
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5250 Lindley Ave, Encino, CA 91316
Phone: 718-938-0949    Fax: 818-960-0038
Eve's Place Of Peace
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 15720 Ventura Blvd Ste 411, Encino, CA 91436
Phone: 818-298-1742    Fax: 818-385-0236

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