Kevin De Kock, is a
Social Worker - Clinical based in Los Angeles, California. Kevin De Kock is licensed to practice in California (license number 101466) and his current practice location is
6762 Lexington Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 380-7590.
NPI number for Kevin De Kock is 1356750079 and his current mailing address is 6762 Lexington Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356750079.
Healthcare Provider's Profile
| Full Name | Kevin De Kock |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6762 Lexington Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356750079
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 08/26/2021
Medical Identifiers
Medical identifiers for Kevin De Kock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356750079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 82001 (California) | Secondary |
| 104100000X | Social Worker | 10771 (Tennessee) | 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 | 101466 (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. Kevin De Kock 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 |
|---|
Kevin De Kock,
6762 Lexington Ave,
Los Angeles, CA 90038-1217
Ph: (323) 380-7590 | Kevin De Kock,
6762 Lexington Ave,
Los Angeles, CA 90038-1217
Ph: (323) 380-7590 |
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