Charlene Ann Drake, LCSW is a
Social Worker - Clinical based in Evansville, Indiana. Charlene Ann Drake is licensed to practice in Indiana (license number 34008039A) and her current practice location is
728 N Cross Pointe Blvd Ste 102, Evansville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 401-1836.
NPI number for Charlene Ann Drake is 1962919787 and her current mailing address is 726 S Bennighof Ave, Evansville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962919787.
Healthcare Provider's Profile
Full Name | Charlene Ann Drake |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 728 N Cross Pointe Blvd Ste 102, Evansville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962919787
- Provider Enumeration Date: 01/02/2018
- Last Update Date: 01/02/2018
Medical Identifiers
Medical identifiers for Charlene Ann Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962919787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 34008039A (Indiana) | Secondary |
101YM0800X | Counselor - Mental Health | 34008039A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | 34008039A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34008039A (Indiana) | 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. Charlene Ann Drake 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 |
Charlene Ann Drake, LCSW 726 S Bennighof Ave, Evansville, IN 47714-2022 Ph: (503) 784-9050 | Charlene Ann Drake, LCSW 728 N Cross Pointe Blvd Ste 102, Evansville, IN 47715-9163 Ph: (812) 401-1836 |
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