Patricia Lynn Liles, LCSW is a
Social Worker - Clinical based in Crestline, California. Patricia Lynn Liles is licensed to practice in California (license number LCS 10179) and her current practice location is
24621 Altdorf Dr, Crestline, California. She can be reached at her office (for appointments etc.) via phone at
(909) 645-8580.
NPI number for Patricia Lynn Liles is 1194092650 and her current mailing address is Po Box 2727, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194092650.
Healthcare Provider's Profile
Full Name | Patricia Lynn Liles |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 24621 Altdorf Dr, Crestline, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194092650
- Provider Enumeration Date: 11/28/2011
- Last Update Date: 11/28/2011
Medical Identifiers
Medical identifiers for Patricia Lynn Liles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194092650 | NPI | - | NPPES |
LCS 10179 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCS 10179 (California) | 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. Patricia Lynn Liles 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 |
Patricia Lynn Liles, LCSW Po Box 2727, Crestline, CA 92325-2727 Ph: (909) 645-8580 | Patricia Lynn Liles, LCSW 24621 Altdorf Dr, Crestline, CA 92325-2727 Ph: (909) 645-8580 |
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