Chanell Dudley, is a
Social Worker - Clinical based in Los Angeles, California. Chanell Dudley is licensed to practice in California (license number 110237) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 593-5300.
NPI number for Chanell Dudley is 1114402492 and her current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114402492.
Healthcare Provider's Profile
Full Name | Chanell Dudley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3850 Crenshaw Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114402492
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Chanell Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114402492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 89545 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 110237 (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. Chanell Dudley 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 |
Chanell Dudley, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 593-5300 | Chanell Dudley, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 593-5300 |
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