Mr Derek James Baldridge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
1522 E 102nd St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 385-5100.
Mr Derek James Baldridge is licensed to practice in California (license number LCSW79801) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841548948.
Healthcare Provider's Profile
Full Name | Mr Derek James Baldridge |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1522 E 102nd St, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841548948
- Provider Enumeration Date: 08/21/2012
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961814397
- Enrollment ID: I20201209001122
Medical Identifiers
Medical identifiers for Mr Derek James Baldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841548948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW79801 (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 Derek James Baldridge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Derek James Baldridge, LCSW 1522 E 102nd St, Los Angeles, CA 90002-3338 Ph: () - | Mr Derek James Baldridge, LCSW 1522 E 102nd St, Los Angeles, CA 90002-3338 Ph: (213) 385-5100 |
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