Laqulisha Denise Gould, is a
Community Health Worker based in Hayward, California. Laqulisha Denise Gould is licensed to practice in California (license number 4600572443) and her current practice location is
22050 Woodrow Ave, Hayward, California. She can be reached at her office (for appointments etc.) via phone at
(510) 613-0330.
NPI number for Laqulisha Denise Gould is 1366281461 and her current mailing address is 4553 Delta Fair Blvd Apt A12, Antioch, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366281461.
Healthcare Provider's Profile
| Full Name | Laqulisha Denise Gould |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 22050 Woodrow Ave, Hayward, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366281461
- Provider Enumeration Date: 05/20/2024
- Last Update Date: 12/27/2024
Medical Identifiers
Medical identifiers for Laqulisha Denise Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366281461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 172V00000X | Community Health Worker | 4600572443 (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. Laqulisha Denise Gould 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 |
|---|
Laqulisha Denise Gould,
4553 Delta Fair Blvd Apt A12,
Antioch, CA 94509-3955
Ph: (510) 228-6036 | Laqulisha Denise Gould,
22050 Woodrow Ave,
Hayward, CA 94541
Ph: (510) 613-0330 |
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