Mr Cedrick D Gooden, LCDCIII, OCPS is a
Prevention Professional based in Canton, Ohio. Mr Cedrick D Gooden is licensed to practice in Ohio (license number OCPS4486) and his current practice location is
601 Cleveland Ave Nw, Canton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 455-0374.
NPI number for Mr Cedrick D Gooden is 1841562949 and his current mailing address is 625 Cleveland Ave Nw, Canton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841562949.
Healthcare Provider's Profile
Full Name | Mr Cedrick D Gooden |
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Gender | Male |
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Speciality | Prevention Professional |
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Location | 601 Cleveland Ave Nw, Canton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841562949
- Provider Enumeration Date: 02/03/2012
- Last Update Date: 12/28/2018
Medical Identifiers
Medical identifiers for Mr Cedrick D Gooden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841562949 | NPI | - | NPPES |
0273389 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII161791 (Ohio) | Secondary |
405300000X | Prevention Professional | OCPS4486 (Ohio) | 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 Cedrick D Gooden 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 Cedrick D Gooden, LCDCIII, OCPS 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Mr Cedrick D Gooden, LCDCIII, OCPS 601 Cleveland Ave Nw, Canton, OH 44702-1836 Ph: (330) 455-0374 |
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