Tatiana Caicedo, is a
Social Worker - Clinical based in Tustin, California. Tatiana Caicedo is licensed to practice in * (Not Available) (license number ) and her current practice location is
621 W 1st St, Tustin, California. She can be reached at her office (for appointments etc.) via phone at
(714) 665-9890.
NPI number for Tatiana Caicedo is 1508359167 and her current mailing address is 3540 Howard Way Ste 150, Costa Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508359167.
Healthcare Provider's Profile
| Full Name | Tatiana Caicedo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 621 W 1st St, Tustin, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508359167
- Provider Enumeration Date: 06/08/2018
- Last Update Date: 12/15/2023
Medical Identifiers
Medical identifiers for Tatiana Caicedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508359167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. Tatiana Caicedo 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 |
|---|
Tatiana Caicedo,
3540 Howard Way Ste 150,
Costa Mesa, CA 92626-1496
Ph: () - | Tatiana Caicedo,
621 W 1st St,
Tustin, CA 92780-2950
Ph: (714) 665-9890 |
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