Gabriel Thomas Shallcross Ii, is a
Social Worker based in Los Angeles, California. Gabriel Thomas Shallcross Ii is licensed to practice in California (license number 115951) and his current practice location is
500 S San Pedro St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 285-4260.
NPI number for Gabriel Thomas Shallcross Ii is 1790406791 and his current mailing address is 500 S San Pedro St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790406791.
Healthcare Provider's Profile
| Full Name | Gabriel Thomas Shallcross Ii |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 500 S San Pedro St, Los Angeles, 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: 1790406791
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Gabriel Thomas Shallcross Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790406791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 115951 (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. Gabriel Thomas Shallcross Ii 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 |
|---|
Gabriel Thomas Shallcross Ii,
500 S San Pedro St,
Los Angeles, CA 90013-2102
Ph: (213) 475-9840 | Gabriel Thomas Shallcross Ii,
500 S San Pedro St,
Los Angeles, CA 90013-2102
Ph: (213) 285-4260 |
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