Vivianne Madrigal, is a
Social Worker - Clinical based in Carson, California. Vivianne Madrigal is licensed to practice in California (license number LCSW117705) and her current practice location is
649 E Albertoni St Ste 100, Carson, California. She can be reached at her office (for appointments etc.) via phone at
(310) 436-9300.
NPI number for Vivianne Madrigal is 1669964748 and her current mailing address is 649 E Albertoni St Ste 100, Carson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669964748.
Healthcare Provider's Profile
| Full Name | Vivianne Madrigal |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 649 E Albertoni St Ste 100, Carson, 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: 1669964748
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 10/05/2023
Medical Identifiers
Medical identifiers for Vivianne Madrigal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669964748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ACSW92387 (California) | Secondary |
| 104100000X | Social Worker | ACSW92387 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW117705 (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. Vivianne Madrigal 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 |
|---|
Vivianne Madrigal,
649 E Albertoni St Ste 100,
Carson, CA 90746-1538
Ph: (310) 436-9300 | Vivianne Madrigal,
649 E Albertoni St Ste 100,
Carson, CA 90746-1538
Ph: (310) 436-9300 |
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