Mr Lazar Kizhakedan, LSW, CADC is a
Social Worker based in Joliet, Illinois. Mr Lazar Kizhakedan is licensed to practice in Illinois (license number 150.012857) and his current practice location is
3033 W Jefferson St, Suite 205, Joliet, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 773-6277.
NPI number for Mr Lazar Kizhakedan is 1720358534 and his current mailing address is 3 H Wildwood Ln, Bolingbrook, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720358534.
Healthcare Provider's Profile
Full Name | Mr Lazar Kizhakedan |
---|
Gender | Male |
---|
Speciality | Social Worker |
---|
Location | 3033 W Jefferson St, Joliet, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720358534
- Provider Enumeration Date: 01/10/2012
- Last Update Date: 01/10/2012
Medical Identifiers
Medical identifiers for Mr Lazar Kizhakedan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720358534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 29480 (Illinois) | Secondary |
104100000X | Social Worker | 150.012857 (Illinois) | 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 Lazar Kizhakedan 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 Lazar Kizhakedan, LSW, CADC 3 H Wildwood Ln, Bolingbrook, IL 60440-1943 Ph: () - | Mr Lazar Kizhakedan, LSW, CADC 3033 W Jefferson St, Suite 205, Joliet, IL 60435-5261 Ph: (815) 773-6277 |
Reviews and Comments