Mr Dornell Mister, SOCIAL WORK is a
Social Worker based in Orlando, Florida. Mr Dornell Mister is licensed to practice in Michigan (license number 6802072553) and his current practice location is
5201 5201 Raymond St, Orlando, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 629-1599.
NPI number for Mr Dornell Mister is 1104835750 and his current mailing address is 2001 Glenridge Way, Apt #48, Winter Park, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104835750.
Healthcare Provider's Profile
| Full Name | Mr Dornell Mister |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 5201 5201 Raymond St, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104835750
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dornell Mister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104835750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-00571 (Michigan) | Primary |
| 104100000X | Social Worker | 6802072553 (Michigan) | 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. Mr Dornell Mister 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 |
|---|
Mr Dornell Mister, SOCIAL WORK
2001 Glenridge Way, Apt #48,
Winter Park, FL 32792
Ph: (407) 629-1599 | Mr Dornell Mister, SOCIAL WORK
5201 5201 Raymond St,
Orlando, FL 32803
Ph: (407) 629-1599 |
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