Mercedes Samudio, LCSW is a
Social Worker - Clinical based in Inglewood, California. Mercedes Samudio is licensed to practice in California (license number LCS 64645) and her current practice location is
2930 W Imperial Hwy, Suite 310, Inglewood, California. She can be reached at her office (for appointments etc.) via phone at
(310) 351-3609.
NPI number for Mercedes Samudio is 1659645927 and her current mailing address is Po Box 601, Huntington Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659645927.
Healthcare Provider's Profile
| Full Name | Mercedes Samudio |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2930 W Imperial Hwy, Inglewood, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659645927
- Provider Enumeration Date: 03/02/2012
- Last Update Date: 12/02/2014
Medical Identifiers
Medical identifiers for Mercedes Samudio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659645927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW32387 (California) | Secondary |
| 104100000X | Social Worker | ASW32387 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS 64645 (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. Mercedes Samudio 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 |
|---|
Mercedes Samudio, LCSW
Po Box 601,
Huntington Beach, CA 92648-0601
Ph: (310) 351-3609 | Mercedes Samudio, LCSW
2930 W Imperial Hwy, Suite 310,
Inglewood, CA 90303-3143
Ph: (310) 351-3609 |
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