Takiya Kajuan Paicely, MSW, LCSW, DCC is a
Student In An Organized Health Care Education/training Program based in Spokane, Washington. Takiya Kajuan Paicely is licensed to practice in Washington (license number CG60965821) and her current practice location is
17 E 1st Ave, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Takiya Kajuan Paicely is 1184963902 and her current mailing address is 107 S Division St, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184963902.
Healthcare Provider's Profile
| Full Name | Takiya Kajuan Paicely |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 17 E 1st Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184963902
- Provider Enumeration Date: 02/14/2013
- Last Update Date: 10/11/2019
Medical Identifiers
Medical identifiers for Takiya Kajuan Paicely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184963902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34006655A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | CG60965821 (Washington) | 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. Takiya Kajuan Paicely 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 |
|---|
Takiya Kajuan Paicely, MSW, LCSW, DCC
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Takiya Kajuan Paicely, MSW, LCSW, DCC
17 E 1st Ave,
Spokane, WA 99202-1501
Ph: (509) 838-4651 |
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