Dr Yvonne Adassa Commodore, EDD, EDS, LMSW is a
Social Worker based in North Charleston, South Carolina. Dr Yvonne Adassa Commodore is licensed to practice in South Carolina (license number 188020) and her current practice location is
3614 Ashley Phosphate Rd Ste A, North Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 767-7624.
NPI number for Dr Yvonne Adassa Commodore is 1063835445 and her current mailing address is Po Box 2196, Mount Pleasant, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063835445.
Healthcare Provider's Profile
| Full Name | Dr Yvonne Adassa Commodore |
|---|
| Gender | Female |
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| Speciality | Social Worker |
|---|
| Location | 3614 Ashley Phosphate Rd Ste A, North Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063835445
- Provider Enumeration Date: 01/21/2014
- Last Update Date: 01/21/2014
Medical Identifiers
Medical identifiers for Dr Yvonne Adassa Commodore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063835445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 188020 (South Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 188020 (South Carolina) | Secondary |
| 104100000X | Social Worker | 188020 (South Carolina) | Primary |
| 1041S0200X | Social Worker - School | 188020 (South Carolina) | Secondary |
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. Dr Yvonne Adassa Commodore 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 |
|---|
Dr Yvonne Adassa Commodore, EDD, EDS, LMSW
Po Box 2196,
Mount Pleasant, SC 29465-2196
Ph: (843) 767-7624 | Dr Yvonne Adassa Commodore, EDD, EDS, LMSW
3614 Ashley Phosphate Rd Ste A,
North Charleston, SC 29418-8500
Ph: (843) 767-7624 |
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