Jack A Register Ii, MSW, LCSW, LCAS is a
Social Worker - Clinical based in Greensboro, North Carolina. Jack A Register Ii is licensed to practice in North Carolina (license number C004968) and his current practice location is
416 W Radiance Dr, Greensboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 588-9156.
NPI number for Jack A Register Ii is 1689904401 and his current mailing address is 416 W Radiance Dr, Greensboro, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689904401.
Healthcare Provider's Profile
| Full Name | Jack A Register Ii |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 416 W Radiance Dr, Greensboro, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689904401
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 03/11/2020
Medical Identifiers
Medical identifiers for Jack A Register Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689904401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1723 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C004968 (North Carolina) | 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. Jack A Register 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 |
|---|
Jack A Register Ii, MSW, LCSW, LCAS
416 W Radiance Dr,
Greensboro, NC 27403-1228
Ph: (336) 588-9156 | Jack A Register Ii, MSW, LCSW, LCAS
416 W Radiance Dr,
Greensboro, NC 27403-1228
Ph: (336) 588-9156 |
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