Ian Douglas Mackelvie, LCSW is a
Social Worker - Clinical based in Eureka, California. Ian Douglas Mackelvie is licensed to practice in California (license number 84796) and his current practice location is
1302 11th St, Eureka, California. He can be reached at his office (for appointments etc.) via phone at
(074) 409-2887.
NPI number for Ian Douglas Mackelvie is 1659651370 and his current mailing address is Po Box 232, Eureka, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659651370.
Healthcare Provider's Profile
| Full Name | Ian Douglas Mackelvie |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1302 11th St, Eureka, 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: 1659651370
- Provider Enumeration Date: 08/25/2011
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Ian Douglas Mackelvie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659651370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 62012 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 84796 (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. Ian Douglas Mackelvie 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 |
|---|
Ian Douglas Mackelvie, LCSW
Po Box 232,
Eureka, CA 95502-0232
Ph: (707) 440-9288 | Ian Douglas Mackelvie, LCSW
1302 11th St,
Eureka, CA 95501-2029
Ph: (074) 409-2887 |
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