Jorin Bukosky, LCSW is a
Social Worker - Clinical based in Menlo Park, California. Jorin Bukosky is licensed to practice in California (license number 86083) and his current practice location is
795 Willow Rd, (321 / C-128), Menlo Park, California. He can be reached at his office (for appointments etc.) via phone at
(650) 493-5000.
NPI number for Jorin Bukosky is 1992038681 and his current mailing address is 795 Willow Rd, (321 / C-128), Menlo Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992038681.
Healthcare Provider's Profile
| Full Name | Jorin Bukosky |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 795 Willow Rd, Menlo Park, 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: 1992038681
- Provider Enumeration Date: 09/11/2009
- Last Update Date: 04/03/2019
Medical Identifiers
Medical identifiers for Jorin Bukosky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992038681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 86083 (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. Jorin Bukosky 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 |
|---|
Jorin Bukosky, LCSW
795 Willow Rd, (321 / C-128),
Menlo Park, CA 94025
Ph: (650) 493-5000 | Jorin Bukosky, LCSW
795 Willow Rd, (321 / C-128),
Menlo Park, CA 94025
Ph: (650) 493-5000 |
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