Daylen Cecil Roberts, LCSW is a
Social Worker - Clinical based in Clearlake Oaks, California. Daylen Cecil Roberts is licensed to practice in California (license number 107044) and his current practice location is
14715 E. Highway 20, Clearlake Oaks, California. He can be reached at his office (for appointments etc.) via phone at
(707) 989-1800.
NPI number for Daylen Cecil Roberts is 1699102004 and his current mailing address is Po Box 316, Lucerne, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699102004.
Healthcare Provider's Profile
| Full Name | Daylen Cecil Roberts |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 14715 E. Highway 20, Clearlake Oaks, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699102004
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 11/10/2022
Medical Identifiers
Medical identifiers for Daylen Cecil Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699102004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSCR1003301852 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CCDS-R1003301852 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW87243 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107044 (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. Daylen Cecil Roberts 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 |
|---|
Daylen Cecil Roberts, LCSW
Po Box 316,
Lucerne, CA 95458-0316
Ph: (707) 274-5610 | Daylen Cecil Roberts, LCSW
14715 E. Highway 20,
Clearlake Oaks, CA 95458
Ph: (707) 989-1800 |
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