Timothy Norbert Clancy Jr, is a
Social Worker - Clinical based in Oakland, California. Timothy Norbert Clancy Jr is licensed to practice in California (license number 123295) and his current practice location is
3301 E 12th St Ste 259, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 269-9030.
NPI number for Timothy Norbert Clancy Jr is 1053854802 and his current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053854802.
Healthcare Provider's Profile
| Full Name | Timothy Norbert Clancy Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3301 E 12th St Ste 259, Oakland, 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: 1053854802
- Provider Enumeration Date: 11/28/2016
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Timothy Norbert Clancy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053854802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123295 (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. Timothy Norbert Clancy 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 |
|---|
Timothy Norbert Clancy Jr,
3850 Crenshaw Blvd,
Los Angeles, CA 90008-1821
Ph: (323) 593-5300 | Timothy Norbert Clancy Jr,
3301 E 12th St Ste 259,
Oakland, CA 94601-2940
Ph: (510) 269-9030 |
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