Teresa J Kang in Phoenix - Clinical

Teresa J Kang - NPI 1740360882

Teresa J Kang is a Clinical in Phoenix, Arizona. Teresa J Kang practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa J Kang is 1740360882. The last update date is 2007-07-08.

Teresa J Kang's current location address is 1554 W Van Buren St, Phoenix, Arizona. You can contact this provider via phone number 6022586797 and fax number 6023409401. The mailing address for Teresa J Kang is 1554 W Van Buren St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa J Kang
Address 1554 W Van Buren St, Phoenix, Arizona
Phone Number 6022586797
Fax Number 6023409401
Sole Proprietor N
Credentials LCSW, LISA

NPI Number Detail

NPI Number 1740360882
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1554 W Van Buren St
City Phoenix
State Arizona (AZ)
Post Code 850072442
Phone Number 6022586797
Fax Number 6023409401

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCSW-3551
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
814716 AZ AHCCCS ID

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FAQs about Teresa J Kang

What is the unique 10-digit identifier code assigned to Teresa J Kang by the Centers for Medicare & Medicaid Services?

The Teresa J Kang has been issued the NPI (National Provider Identifier) 1740360882 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Teresa J Kang's physical address?

The Teresa J Kang is physically located at 1554 W Van Buren St, in the city of Phoenix, AZ, with the postal code 850072442.

What is Teresa J Kang's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Teresa J Kang is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did Teresa J Kang receive its 1740360882 assignment from the Centers for Medicare & Medicaid Services?

The Teresa J Kang was assigned its 1740360882 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Teresa J Kang most recently updated or refreshed?

The details pertaining to the Teresa J Kang, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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