Adryahna Cheyanne Pace, is a
Social Worker - Clinical based in San Diego, California. Adryahna Cheyanne Pace is licensed to practice in California (license number 112111) and her current practice location is
3132 Jefferson St, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 683-3100.
NPI number for Adryahna Cheyanne Pace is 1871141564 and her current mailing address is 6840 Bear River Row Unit 3, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871141564.
Healthcare Provider's Profile
| Full Name | Adryahna Cheyanne Pace |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3132 Jefferson St, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871141564
- Provider Enumeration Date: 08/27/2019
- Last Update Date: 05/26/2023
Medical Identifiers
Medical identifiers for Adryahna Cheyanne Pace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871141564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 112111 (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. Adryahna Cheyanne Pace 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 |
|---|
Adryahna Cheyanne Pace,
6840 Bear River Row Unit 3,
San Diego, CA 92139-2729
Ph: (619) 818-9088 | Adryahna Cheyanne Pace,
3132 Jefferson St,
San Diego, CA 92110-4421
Ph: (619) 683-3100 |
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