Roshawon Latice Pruitt, AA, DSP I is a
Community Health Worker based in Long Beach, California. Roshawon Latice Pruitt is licensed to practice in * (Not Available) (license number ) and her current practice location is
735 Cedar Ave Apt 1, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 606-4314.
NPI number for Roshawon Latice Pruitt is 1710350145 and her current mailing address is 735 Cedar Ave Apt 1, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710350145.
Healthcare Provider's Profile
| Full Name | Roshawon Latice Pruitt |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 735 Cedar Ave Apt 1, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710350145
- Provider Enumeration Date: 11/06/2015
- Last Update Date: 11/06/2015
Medical Identifiers
Medical identifiers for Roshawon Latice Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710350145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
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. Roshawon Latice Pruitt 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 |
|---|
Roshawon Latice Pruitt, AA, DSP I
735 Cedar Ave Apt 1,
Long Beach, CA 90813-4262
Ph: (562) 606-4314 | Roshawon Latice Pruitt, AA, DSP I
735 Cedar Ave Apt 1,
Long Beach, CA 90813-4262
Ph: (562) 606-4314 |
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