Luis E Quintanilla, LCSW is a
Social Worker - Clinical based in San Rafael, California. Luis E Quintanilla is licensed to practice in California (license number LCSW71902) and his current practice location is
3270 Kerner Blvd, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(415) 473-2100.
NPI number for Luis E Quintanilla is 1770731465 and his current mailing address is 3270 Kerner Blvd Ste B, San Rafael, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770731465.
Healthcare Provider's Profile
| Full Name | Luis E Quintanilla |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3270 Kerner Blvd, San Rafael, 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: 1770731465
- Provider Enumeration Date: 09/05/2008
- Last Update Date: 02/20/2020
Medical Identifiers
Medical identifiers for Luis E Quintanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770731465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | D3981988 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW71902 (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. Luis E Quintanilla 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 |
|---|
Luis E Quintanilla, LCSW
3270 Kerner Blvd Ste B,
San Rafael, CA 94901-4840
Ph: (415) 473-2100 | Luis E Quintanilla, LCSW
3270 Kerner Blvd,
San Rafael, CA 94901-4840
Ph: (415) 473-2100 |
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