Antonio Dacosta is a Social Worker in Phoenix, Arizona. Antonio Dacosta practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Antonio Dacosta is 1851510812. The last update date is 2008-03-28.
Antonio Dacosta's current location address is 4620 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6022642770 and fax number 8665341701. The mailing address for Antonio Dacosta is 4620 N 16th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonio Dacosta |
|---|---|
| Address | 4620 N 16th St, Phoenix, Arizona |
| Phone Number | 6022642770 |
| Fax Number | 8665341701 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851510812 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2008-03-28 |
Provider Mailing Address Detail
| Address | 4620 N 16th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850165121 |
| Phone Number | 6022642770 |
| Fax Number | 8665341701 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | SW01941 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 721002 | AZ | -- |
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What is the unique identifier code issued to Antonio Dacosta by the Centers for Medicare & Medicaid Services (CMS)?
The Antonio Dacosta has been assigned the NPI (National Provider Identifier) 1851510812. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Antonio Dacosta located?
The Antonio Dacosta is located at 4620 N 16Th St, Phoenix, AZ 850165121.
What is the Antonio Dacosta's specialty and taxonomy code?
The Antonio Dacosta's specialty is Social Worker, and the corresponding taxonomy code is 104100000X.
When did the Antonio Dacosta receive its 1851510812?
The Antonio Dacosta was issued its 1851510812 on 2007-04-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Antonio Dacosta most recently updated or revised?
The details related to Antonio Dacosta, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-28.
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