Mr Abraham Coles Ii, LCSW, SUDCC IV - CS is a
Social Worker - Clinical based in San Bernardino, California. Mr Abraham Coles Ii is licensed to practice in California (license number 122068) and his current practice location is
341 W 2nd St Ste 3, San Bernardino, California. He can be reached at his office (for appointments etc.) via phone at
(909) 936-3888.
NPI number for Mr Abraham Coles Ii is 1821405184 and his current mailing address is Po Box 457, Beaumont, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821405184.
Healthcare Provider's Profile
| Full Name | Mr Abraham Coles Ii |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 341 W 2nd St Ste 3, San Bernardino, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821405184
- Provider Enumeration Date: 07/18/2014
- Last Update Date: 05/12/2024
Medical Identifiers
Medical identifiers for Mr Abraham Coles Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821405184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6797 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 122068 (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 Abraham Coles Ii 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 Abraham Coles Ii, LCSW, SUDCC IV - CS
Po Box 457,
Beaumont, CA 92223-0457
Ph: (909) 681-0707 | Mr Abraham Coles Ii, LCSW, SUDCC IV - CS
341 W 2nd St Ste 3,
San Bernardino, CA 92401-1804
Ph: (909) 936-3888 |
Reviews and Comments