Mr Allen Lake Ii, LCSW is a
Social Worker - Clinical based in Benicia, California. Mr Allen Lake Ii is licensed to practice in California (license number 93488) and his current practice location is
110 E D St Ste J, Benicia, California. He can be reached at his office (for appointments etc.) via phone at
(707) 413-7680.
NPI number for Mr Allen Lake Ii is 1972866721 and his current mailing address is 110 E D St Ste J, Benicia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972866721.
Healthcare Provider's Profile
Full Name | Mr Allen Lake Ii |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 110 E D St Ste J, Benicia, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972866721
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 03/17/2020
Medical Identifiers
Medical identifiers for Mr Allen Lake Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972866721 | NPI | - | NPPES |
484821 | Other | CA | DRUG MEDI-CAL |
84-4657784 | Other | CA | MENTAL HEALTH THERAPY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 93488 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 93488 (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. Mr Allen Lake Ii 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 |
Mr Allen Lake Ii, LCSW 110 E D St Ste J, Benicia, CA 94510-3252 Ph: (707) 413-7680 | Mr Allen Lake Ii, LCSW 110 E D St Ste J, Benicia, CA 94510-3252 Ph: (707) 413-7680 |
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