Roy Douglas, is a
Social Worker - Clinical based in Modesto, California. Roy Douglas is licensed to practice in California (license number 1041C0700X.) and his current practice location is
1235 Mcherney, A And B, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 507-5559.
NPI number for Roy Douglas is 1407229248 and his current mailing address is 1212 N California St, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407229248.
Healthcare Provider's Profile
| Full Name | Roy Douglas |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1235 Mcherney, Modesto, California |
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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: 1407229248
- Provider Enumeration Date: 11/02/2015
- Last Update Date: 01/09/2024
Medical Identifiers
Medical identifiers for Roy Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407229248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1041C0700X. (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. Roy Douglas 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 |
|---|
Roy Douglas,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 468-8686 | Roy Douglas,
1235 Mcherney, A And B,
Modesto, CA 95350-9411
Ph: (209) 507-5559 |
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