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NPI Code Detail

MEDICARE: MISS MARIA EARHART LCSW

MEDICARE: MISS MARIA EARHART LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social Worker111703CA
41041C0700XClinical Social Worker111703
51041S0200XSchool Social Worker

General Provider Information

NPI Number : 1013349588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARIA EARHART LCSW
Provider Business Mailing Address
First Line : 13720 CHOLLA DR
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-5410
Country : US
Telephone Number : 626-893-7915
Fax Number :
Provider Business Practice Location Address
First Line : 1030 E FLORIDA AVE
Second Line :
City : HEMET
State : CA
Zip : 92543-4511
Country : US
Telephone Number : 833-867-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 12/10/2025

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Directions to “ MISS MARIA EARHART LCSW” Practice Location

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