Mr Dwayne Smoot Jr, MSW is a
Social Worker - Clinical based in Vandenberg Afb, California. Mr Dwayne Smoot Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
338 S Dakota Ave, Vandenberg Afb, California. He can be reached at his office (for appointments etc.) via phone at
(805) 606-2273.
NPI number for Mr Dwayne Smoot Jr is 1871974113 and his current mailing address is Unit 5071, Apo, Armed Forces Pacific. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871974113.
Healthcare Provider's Profile
| Full Name | Mr Dwayne Smoot Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 338 S Dakota Ave, Vandenberg Afb, 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: 1871974113
- Provider Enumeration Date: 06/12/2015
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Mr Dwayne Smoot Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871974113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Dwayne Smoot Jr 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 Dwayne Smoot Jr, MSW
Unit 5071,
Apo, AP 96328-5071
Ph: () - | Mr Dwayne Smoot Jr, MSW
338 S Dakota Ave,
Vandenberg Afb, CA 93437-6307
Ph: (805) 606-2273 |
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