Theodore Gilbert Jr, is a
Social Worker - Clinical based in Charlotte, North Carolina. Theodore Gilbert Jr is licensed to practice in North Carolina (license number C011875) and his current practice location is
13420 Michael Lynn Rd, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(219) 730-3976.
NPI number for Theodore Gilbert Jr is 1588869184 and his current mailing address is 635 Cox Rd Ste B, Gastonia, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588869184.
Healthcare Provider's Profile
| Full Name | Theodore Gilbert Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 13420 Michael Lynn Rd, Charlotte, North Carolina |
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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: 1588869184
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 02/04/2020
Medical Identifiers
Medical identifiers for Theodore Gilbert Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588869184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | P010172 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011875 (North Carolina) | 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. Theodore Gilbert 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 |
|---|
Theodore Gilbert Jr,
635 Cox Rd Ste B,
Gastonia, NC 28054-3441
Ph: (704) 691-7561 | Theodore Gilbert Jr,
13420 Michael Lynn Rd,
Charlotte, NC 28278-7640
Ph: (219) 730-3976 |
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