Mr Theodore James Woodard Iii, MA, LPC is a medicare enrolled "Case Manager/care Coordinator" provider in Los Angeles, California. He graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Mood Clinical, P. C. and his current practice location is
2116 Arlington Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 334-9000.
Mr Theodore James Woodard Iii is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952030702.
Healthcare Provider's Profile
| Full Name | Mr Theodore James Woodard Iii |
|---|
| Gender | Male |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 9 Years |
|---|
| Location | 2116 Arlington Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Theodore James Woodard Iii graduated from medical school in 2017
NPI Data:
- NPI Number: 1952030702
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911494380
- Enrollment ID: I20251017003086
Medical Identifiers
Medical identifiers for Mr Theodore James Woodard Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952030702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mood Clinical, P. C. | 4981080769 | 95 |
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 Theodore James Woodard Iii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Theodore James Woodard Iii, MA, LPC
2116 Arlington Ave,
Los Angeles, CA 90018-1353
Ph: (323) 334-9000 | Mr Theodore James Woodard Iii, MA, LPC
2116 Arlington Ave,
Los Angeles, CA 90018-1353
Ph: (323) 334-9000 |
Reviews and Comments