Carol Fowlkes, is a
Social Worker - Clinical based in Gardena, California. Carol Fowlkes is licensed to practice in California (license number 118545) and her current practice location is
879 W 190th St, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 323-6887.
NPI number for Carol Fowlkes is 1306328281 and her current mailing address is 879 W 190th St Ste 300, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306328281.
Healthcare Provider's Profile
| Full Name | Carol Fowlkes |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 879 W 190th St, Gardena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306328281
- Provider Enumeration Date: 09/06/2018
- Last Update Date: 09/10/2024
Medical Identifiers
Medical identifiers for Carol Fowlkes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306328281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW99662 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 118545 (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. Carol Fowlkes 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 |
|---|
Carol Fowlkes,
879 W 190th St Ste 300,
Gardena, CA 90248-4223
Ph: (310) 323-6887 | Carol Fowlkes,
879 W 190th St,
Gardena, CA 90248-4220
Ph: (310) 323-6887 |
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