Mr Destin Troy Atterbury Sr, is a
Social Worker - Clinical based in Long Beach, California. Mr Destin Troy Atterbury Sr is licensed to practice in California (license number ASW86283) and his current practice location is
2600 Redondo Ave Fl 3, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(562) 256-2900.
NPI number for Mr Destin Troy Atterbury Sr is 1558803353 and his current mailing address is 2600 Redondo Ave Fl 3, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558803353.
Healthcare Provider's Profile
| Full Name | Mr Destin Troy Atterbury Sr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2600 Redondo Ave Fl 3, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558803353
- Provider Enumeration Date: 11/09/2016
- Last Update Date: 07/07/2023
Medical Identifiers
Medical identifiers for Mr Destin Troy Atterbury Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558803353 | NPI | - | NPPES |
| 1041C0700X | Medicaid | CA | |
| 00000000000000 | Other | CA | UNKNOWN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW86283 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW86283 (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 Destin Troy Atterbury Sr 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 Destin Troy Atterbury Sr,
2600 Redondo Ave Fl 3,
Long Beach, CA 90806-2325
Ph: (562) 256-2900 | Mr Destin Troy Atterbury Sr,
2600 Redondo Ave Fl 3,
Long Beach, CA 90806-2325
Ph: (562) 256-2900 |
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