Bienville South, is a
Social Worker based in Los Angeles, California. Bienville South is licensed to practice in * (Not Available) (license number ) and his current practice location is
3660 W Slauson Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 214-9166.
NPI number for Bienville South is 1780188573 and his current mailing address is 3660 W Slauson Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780188573.
Healthcare Provider's Profile
| Full Name | Bienville South |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 3660 W Slauson Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780188573
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 03/19/2018
Medical Identifiers
Medical identifiers for Bienville South such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780188573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TF0000X | Psychologist - Family | (California) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (California) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (* (Not Available)) | Secondary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Bienville South 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 |
|---|
Bienville South,
3660 W Slauson Ave,
Los Angeles, CA 90043-2931
Ph: (323) 214-9166 | Bienville South,
3660 W Slauson Ave,
Los Angeles, CA 90043-2931
Ph: (323) 214-9166 |
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