Juan Jose Hernandez-codallos, is a
Social Worker - Clinical based in Laramie, Wyoming. Juan Jose Hernandez-codallos is licensed to practice in California (license number 92529) and his current practice location is
615 Roger Canyon Rd, Laramie, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(209) 918-8761.
NPI number for Juan Jose Hernandez-codallos is 1740613306 and his current mailing address is Po Box 1733, Laramie, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740613306.
Healthcare Provider's Profile
| Full Name | Juan Jose Hernandez-codallos |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 615 Roger Canyon Rd, Laramie, Wyoming |
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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: 1740613306
- Provider Enumeration Date: 08/17/2013
- Last Update Date: 07/31/2023
Medical Identifiers
Medical identifiers for Juan Jose Hernandez-codallos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740613306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 92529 (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. Juan Jose Hernandez-codallos 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 |
|---|
Juan Jose Hernandez-codallos,
Po Box 1733,
Laramie, WY 82073-1733
Ph: () - | Juan Jose Hernandez-codallos,
615 Roger Canyon Rd,
Laramie, WY 82072-8902
Ph: (209) 918-8761 |
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