Pedro Heredia, LCSW is a
Social Worker - Clinical based in Patterson, California. Pedro Heredia is licensed to practice in California (license number LCSW75127) and his current practice location is
200 C St, Patterson, California. He can be reached at his office (for appointments etc.) via phone at
(209) 892-8441.
NPI number for Pedro Heredia is 1174859383 and his current mailing address is 737 W Childs Ave, Merced, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174859383.
Healthcare Provider's Profile
| Full Name | Pedro Heredia |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 200 C St, Patterson, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174859383
- Provider Enumeration Date: 10/22/2009
- Last Update Date: 01/24/2017
Medical Identifiers
Medical identifiers for Pedro Heredia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174859383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW75127 (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. Pedro Heredia 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 |
|---|
Pedro Heredia, LCSW
737 W Childs Ave,
Merced, CA 95341-6805
Ph: () - | Pedro Heredia, LCSW
200 C St,
Patterson, CA 95363-2701
Ph: (209) 892-8441 |
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