Mr Raymond Cabot Radeka, LCSW is a
Social Worker - Clinical based in Redlands, California. Mr Raymond Cabot Radeka is licensed to practice in California (license number 122683) and his current practice location is
26001 Redlands Blvd # Ca, Redlands, California. He can be reached at his office (for appointments etc.) via phone at
(909) 825-7084.
NPI number for Mr Raymond Cabot Radeka is 1912336835 and his current mailing address is Po Box 2388, Lake Arrowhead, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912336835.
Healthcare Provider's Profile
| Full Name | Mr Raymond Cabot Radeka |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 26001 Redlands Blvd # Ca, Redlands, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912336835
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 07/05/2024
Medical Identifiers
Medical identifiers for Mr Raymond Cabot Radeka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912336835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW102529 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AII057290518 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 122683 (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 Raymond Cabot Radeka 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 Raymond Cabot Radeka, LCSW
Po Box 2388,
Lake Arrowhead, CA 92352-2388
Ph: (909) 825-7084 | Mr Raymond Cabot Radeka, LCSW
26001 Redlands Blvd # Ca,
Redlands, CA 92373-7762
Ph: (909) 825-7084 |
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