Mr Larry Patrick Dahlka, MA LMSW LLP CAAC is a
Social Worker - Clinical based in Lincoln Park, Michigan. Mr Larry Patrick Dahlka is licensed to practice in Michigan (license number 1757155) and his current practice location is
26184 Outer Dr, Lincoln Park, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 389-7563.
NPI number for Mr Larry Patrick Dahlka is 1649318940 and his current mailing address is 3966 Gertrude St, Dearborn Heights, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649318940.
Healthcare Provider's Profile
Full Name | Mr Larry Patrick Dahlka |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 26184 Outer Dr, Lincoln Park, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649318940
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Larry Patrick Dahlka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649318940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00116 (Michigan) | Primary |
103T00000X | Psychologist | 1811089 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 1757155 (Michigan) | 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 Larry Patrick Dahlka 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 Larry Patrick Dahlka, MA LMSW LLP CAAC 3966 Gertrude St, Dearborn Heights, MI 48125-2814 Ph: (313) 565-3273 | Mr Larry Patrick Dahlka, MA LMSW LLP CAAC 26184 Outer Dr, Lincoln Park, MI 48146-2084 Ph: (313) 389-7563 |
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