Mr Robert Jefferson Prather Jr, MSW is a
Social Worker - Clinical based in Vancouver, Washington. Mr Robert Jefferson Prather Jr is licensed to practice in Washington (license number LW00006530) and his current practice location is
6926 Ne Fourth Plain Blvd, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 993-3238.
NPI number for Mr Robert Jefferson Prather Jr is 1356522569 and his current mailing address is 2402 Ne 78th Ct, Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356522569.
Healthcare Provider's Profile
| Full Name | Mr Robert Jefferson Prather Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 6926 Ne Fourth Plain Blvd, Vancouver, Washington |
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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: 1356522569
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 04/03/2019
Medical Identifiers
Medical identifiers for Mr Robert Jefferson Prather Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356522569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 53110 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | L6631 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW00006530 (Washington) | 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 Robert Jefferson Prather 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 Robert Jefferson Prather Jr, MSW
2402 Ne 78th Ct,
Vancouver, WA 98664-5000
Ph: (214) 930-3231 | Mr Robert Jefferson Prather Jr, MSW
6926 Ne Fourth Plain Blvd,
Vancouver, WA 98661-7254
Ph: (360) 993-3238 |
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