Audrey Mcdougal, is a
Social Worker - Clinical based in San Leandro, California. Audrey Mcdougal is licensed to practice in California (license number LCSW106518) and her current practice location is
400 Estudillo Ave Ste 100, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 352-9200.
NPI number for Audrey Mcdougal is 1811236417 and her current mailing address is 400 Estudillo Ave Ste 100, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811236417.
Healthcare Provider's Profile
Full Name | Audrey Mcdougal |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 400 Estudillo Ave Ste 100, San Leandro, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811236417
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 06/10/2024
Medical Identifiers
Medical identifiers for Audrey Mcdougal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811236417 | NPI | - | NPPES |
1300881 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW87597 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW106518 (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. Audrey Mcdougal 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 |
Audrey Mcdougal, 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 Ph: (510) 352-9200 | Audrey Mcdougal, 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 Ph: (510) 352-9200 |
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