Al Charleston Taylor, is a
Social Worker based in San Rafael, California. Al Charleston Taylor is licensed to practice in California (license number 98721) and his current practice location is
1089 Lea Dr, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(510) 575-1179.
NPI number for Al Charleston Taylor is 1750540852 and his current mailing address is 1380 Howard St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750540852.
Healthcare Provider's Profile
| Full Name | Al Charleston Taylor |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 1089 Lea Dr, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750540852
- Provider Enumeration Date: 06/03/2008
- Last Update Date: 09/15/2023
Medical Identifiers
Medical identifiers for Al Charleston Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750540852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 98721 (California) | Secondary |
| 104100000X | Social Worker | 98721 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | 98721 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
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. Al Charleston Taylor 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 |
|---|
Al Charleston Taylor,
1380 Howard St,
San Francisco, CA 94103-2638
Ph: (510) 575-1179 | Al Charleston Taylor,
1089 Lea Dr,
San Rafael, CA 94903-3746
Ph: (510) 575-1179 |
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