Matthew Kijak, LCSW is a
Social Worker - Clinical based in Los Angeles, California. Matthew Kijak is licensed to practice in California (license number 111179) and his current practice location is
1701 N Avenue 56, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(909) 451-9901.
NPI number for Matthew Kijak is 1518606953 and his current mailing address is 1701 N Avenue 56, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518606953.
Healthcare Provider's Profile
| Full Name | Matthew Kijak |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1701 N Avenue 56, Los Angeles, 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: 1518606953
- Provider Enumeration Date: 06/02/2022
- Last Update Date: 02/26/2024
Medical Identifiers
Medical identifiers for Matthew Kijak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518606953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW93903 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111179 (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. Matthew Kijak 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 |
|---|
Matthew Kijak, LCSW
1701 N Avenue 56,
Los Angeles, CA 90042-1118
Ph: (909) 451-9901 | Matthew Kijak, LCSW
1701 N Avenue 56,
Los Angeles, CA 90042-1118
Ph: (909) 451-9901 |
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