Ms Chevelle Marie Bourdon, LCSW 99121 is a
Social Worker - Clinical based in Redwood City, California. Ms Chevelle Marie Bourdon is licensed to practice in * (Not Available) (license number ) and her current practice location is
500 Allerton St, Redwood City, California. She can be reached at her office (for appointments etc.) via phone at
(650) 599-9955.
NPI number for Ms Chevelle Marie Bourdon is 1447507728 and her current mailing address is 784 Nevin Way Apt 4, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447507728.
Healthcare Provider's Profile
| Full Name | Ms Chevelle Marie Bourdon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 500 Allerton St, Redwood City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447507728
- Provider Enumeration Date: 08/06/2012
- Last Update Date: 10/14/2021
Medical Identifiers
Medical identifiers for Ms Chevelle Marie Bourdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447507728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ms Chevelle Marie Bourdon 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 |
|---|
Ms Chevelle Marie Bourdon, LCSW 99121
784 Nevin Way Apt 4,
San Jose, CA 95128-3258
Ph: (559) 736-5402 | Ms Chevelle Marie Bourdon, LCSW 99121
500 Allerton St,
Redwood City, CA 94063-1519
Ph: (650) 599-9955 |
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