Adrian Gabriel Elicegui, is a
Social Worker - Clinical based in Covina, California. Adrian Gabriel Elicegui is licensed to practice in California (license number LCSW87914) and his current practice location is
1126 N Grand Ave, Suite B, Covina, California. He can be reached at his office (for appointments etc.) via phone at
(626) 967-1667.
NPI number for Adrian Gabriel Elicegui is 1528212461 and his current mailing address is 1126 N Grand Ave, Suite B, Covina, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528212461.
Healthcare Provider's Profile
| Full Name | Adrian Gabriel Elicegui |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 1126 N Grand Ave, Covina, 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: 1528212461
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 02/27/2019
Medical Identifiers
Medical identifiers for Adrian Gabriel Elicegui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528212461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW87914 (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. Adrian Gabriel Elicegui 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 |
|---|
Adrian Gabriel Elicegui,
1126 N Grand Ave, Suite B,
Covina, CA 91724-1551
Ph: (626) 967-1667 | Adrian Gabriel Elicegui,
1126 N Grand Ave, Suite B,
Covina, CA 91724-1551
Ph: (626) 967-1667 |
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