Mr Demetrius Anderson, ASW is a
Counselor - Mental Health based in San Deigo, California. Mr Demetrius Anderson is licensed to practice in California (license number ASW93778) and his current practice location is
Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, California. He can be reached at his office (for appointments etc.) via phone at
(619) 961-2120.
NPI number for Mr Demetrius Anderson is 1285260737 and his current mailing address is 804 Middle Fork Pl, Chula Vista, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285260737.
Healthcare Provider's Profile
| Full Name | Mr Demetrius Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | Telecare Corporation Ihot, San Deigo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285260737
- Provider Enumeration Date: 03/17/2020
- Last Update Date: 03/19/2020
Medical Identifiers
Medical identifiers for Mr Demetrius Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285260737 | NPI | - | NPPES |
| 0 | Other | | NONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW93778 (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 Demetrius Anderson 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 Demetrius Anderson, ASW
804 Middle Fork Pl,
Chula Vista, CA 91914-2623
Ph: (614) 571-2065 | Mr Demetrius Anderson, ASW
Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101,
San Deigo, CA 92108
Ph: (619) 961-2120 |
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