Ivan D Voronin, LCSW is a
Social Worker - Clinical based in Fresno, California. Ivan D Voronin is licensed to practice in California (license number LCSW96519) and his current practice location is
6536 N Backer Ave, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(540) 623-6170.
NPI number for Ivan D Voronin is 1235654625 and his current mailing address is 6536 N Backer Ave, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235654625.
Healthcare Provider's Profile
Full Name | Ivan D Voronin |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6536 N Backer Ave, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235654625
- Provider Enumeration Date: 08/07/2017
- Last Update Date: 01/06/2023
Medical Identifiers
Medical identifiers for Ivan D Voronin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235654625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW96519 (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. Ivan D Voronin 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 |
Ivan D Voronin, LCSW 6536 N Backer Ave, Fresno, CA 93710-4732 Ph: (540) 623-6170 | Ivan D Voronin, LCSW 6536 N Backer Ave, Fresno, CA 93710-4732 Ph: (540) 623-6170 |
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