Clifton R Boone Jr, LSW, CADC is a
Social Worker based in Chicago, Illinois. Clifton R Boone Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
3053 W Franklin Blvd, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 475-6703.
NPI number for Clifton R Boone Jr is 1306611405 and his current mailing address is 2720 S River Rd Ste 246, Des Plaines, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306611405.
Healthcare Provider's Profile
| Full Name | Clifton R Boone Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker |
|---|
| Location | 3053 W Franklin Blvd, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306611405
- Provider Enumeration Date: 11/17/2023
- Last Update Date: 04/11/2024
Medical Identifiers
Medical identifiers for Clifton R Boone Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306611405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 4168617 (Illinois) | 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. Clifton R Boone Jr 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 |
Clifton R Boone Jr, LSW, CADC 2720 S River Rd Ste 246, Des Plaines, IL 60018-4111 Ph: (847) 306-7277 | Clifton R Boone Jr, LSW, CADC 3053 W Franklin Blvd, Chicago, IL 60612-1000 Ph: (773) 475-6703 |
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