Mr Latimer Breck Alexander V, LCSW-A, LCAS-A is a
Counselor - Addiction (substance Use Disorder) based in Greensboro, North Carolina. Mr Latimer Breck Alexander V is licensed to practice in North Carolina (license number 21985) and his current practice location is
5140 Dunstan Rd, Greensboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 621-3381.
NPI number for Mr Latimer Breck Alexander V is 1649627795 and his current mailing address is 5140 Dunstan Rd, Greensboro, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649627795.
Healthcare Provider's Profile
Full Name | Mr Latimer Breck Alexander V |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 5140 Dunstan Rd, Greensboro, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649627795
- Provider Enumeration Date: 05/18/2016
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Mr Latimer Breck Alexander V such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649627795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | PO10755 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P015590 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 21985 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Latimer Breck Alexander V is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Latimer Breck Alexander V, LCSW-A, LCAS-A 5140 Dunstan Rd, Greensboro, NC 27405-9565 Ph: (336) 621-3381 | Mr Latimer Breck Alexander V, LCSW-A, LCAS-A 5140 Dunstan Rd, Greensboro, NC 27405-9565 Ph: (336) 621-3381 |
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