Mr Eric James Wickliffe Jr, is a
Social Worker - Clinical based in Woodland Hills, California. Mr Eric James Wickliffe Jr is licensed to practice in California (license number 67149) and his current practice location is
4900 Serrania Ave, Woodland Hills, California. He can be reached at his office (for appointments etc.) via phone at
(818) 347-1577.
NPI number for Mr Eric James Wickliffe Jr is 1710260435 and his current mailing address is 4900 Serrania Ave, Woodland Hills, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710260435.
Healthcare Provider's Profile
Full Name | Mr Eric James Wickliffe Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4900 Serrania Ave, Woodland Hills, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710260435
- Provider Enumeration Date: 09/20/2011
- Last Update Date: 09/24/2015
Medical Identifiers
Medical identifiers for Mr Eric James Wickliffe Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710260435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 67149 (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 Eric James Wickliffe 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 Eric James Wickliffe Jr, 4900 Serrania Ave, Woodland Hills, CA 91364-3301 Ph: (818) 347-1577 | Mr Eric James Wickliffe Jr, 4900 Serrania Ave, Woodland Hills, CA 91364-3301 Ph: (818) 347-1577 |
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