Mr Kose Ikenasio, LCSW is a
Social Worker - Clinical based in Riverside, California. Mr Kose Ikenasio is licensed to practice in California (license number 99620) and his current practice location is
6401 Lincoln Ave, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 276-7670.
NPI number for Mr Kose Ikenasio is 1417352501 and his current mailing address is 6401 Lincoln Ave, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417352501.
Healthcare Provider's Profile
| Full Name | Mr Kose Ikenasio |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 6401 Lincoln Ave, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417352501
- Provider Enumeration Date: 10/31/2014
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Mr Kose Ikenasio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417352501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 73873 (California) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 99620 (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. Mr Kose Ikenasio 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 |
|---|
Mr Kose Ikenasio, LCSW
6401 Lincoln Ave,
Riverside, CA 92506-4424
Ph: (951) 276-7670 | Mr Kose Ikenasio, LCSW
6401 Lincoln Ave,
Riverside, CA 92506-4424
Ph: (951) 276-7670 |
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