Haneda Mijares Knox, is a
Social Worker - Clinical based in San Jose, California. Haneda Mijares Knox is licensed to practice in California (license number 96709) and her current practice location is
2221 Enborg Ln, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 885-6220.
NPI number for Haneda Mijares Knox is 1225682164 and her current mailing address is 160 E Virginia St Ste 100, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225682164.
Healthcare Provider's Profile
| Full Name | Haneda Mijares Knox |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 2221 Enborg Ln, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225682164
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 02/21/2023
Medical Identifiers
Medical identifiers for Haneda Mijares Knox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225682164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 96709 (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. Haneda Mijares Knox 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 |
|---|
Haneda Mijares Knox,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 | Haneda Mijares Knox,
2221 Enborg Ln,
San Jose, CA 95128-2608
Ph: (408) 885-6220 |
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