Charles L Israel Ii, is a
Social Worker based in Roxbury, Massachusetts. Charles L Israel Ii is licensed to practice in * (Not Available) (license number ) and his current practice location is
504 Dudley St, Roxbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 989-9499.
NPI number for Charles L Israel Ii is 1205262573 and his current mailing address is 37 Cedar St, Mattapan, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205262573.
Healthcare Provider's Profile
Full Name | Charles L Israel Ii |
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Gender | Male |
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Speciality | Social Worker |
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Location | 504 Dudley St, Roxbury, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205262573
- Provider Enumeration Date: 09/18/2013
- Last Update Date: 09/18/2013
Medical Identifiers
Medical identifiers for Charles L Israel Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205262573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Charles L Israel 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 |
Charles L Israel Ii, 37 Cedar St, Mattapan, MA 02126-2924 Ph: (617) 839-1050 | Charles L Israel Ii, 504 Dudley St, Roxbury, MA 02119-2732 Ph: (617) 989-9499 |
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