Dylan Forrest Woodward, LICSW, LADC is a
Social Worker - Clinical based in Minneapolis, Minnesota. Dylan Forrest Woodward is licensed to practice in Minnesota (license number 2511) and his current practice location is
300 S 6th St, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 432-8136.
NPI number for Dylan Forrest Woodward is 1669897955 and his current mailing address is 300 S 6th St, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669897955.
Healthcare Provider's Profile
| Full Name | Dylan Forrest Woodward |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 300 S 6th St, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669897955
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 02/24/2014
Medical Identifiers
Medical identifiers for Dylan Forrest Woodward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669897955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302674 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2511 (Minnesota) | 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. Dylan Forrest Woodward 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 |
|---|
Dylan Forrest Woodward, LICSW, LADC
300 S 6th St,
Minneapolis, MN 55487-0999
Ph: () - | Dylan Forrest Woodward, LICSW, LADC
300 S 6th St,
Minneapolis, MN 55487-0999
Ph: (612) 432-8136 |
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