Jo Victory Sadalla is a Clinical in Phoenix, Arizona. Jo Victory Sadalla practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jo Victory Sadalla is 1790821189. The last update date is 2007-07-08.
Jo Victory Sadalla's current location address is 301 E Bethany Home Rd, Phoenix, Arizona. You can contact this provider via phone number 6022641800 and fax number 6022641887. The mailing address for Jo Victory Sadalla is 301 E Bethany Home Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Victory Sadalla |
|---|---|
| Address | 301 E Bethany Home Rd, Phoenix, Arizona |
| Phone Number | 6022641800 |
| Fax Number | 6022641887 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1790821189 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 E Bethany Home Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850121263 |
| Phone Number | 6022641800 |
| Fax Number | 6022641887 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW0216 |
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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 |
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What is the unique identifier code issued to Jo Victory Sadalla by the Centers for Medicare & Medicaid Services?
The Jo Victory Sadalla has been assigned the NPI (National Provider Identifier) 1790821189. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jo Victory Sadalla's facilities are situated?
The facilities of Jo Victory Sadalla are physically located at the following address: 301 E Bethany Home Rd, Phoenix, AZ, 850121263.
What is the Jo Victory Sadalla's specialty and taxonomy code?
The Jo Victory Sadalla's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Jo Victory Sadalla receive its 1790821189 assignment?
The Jo Victory Sadalla was assigned its 1790821189 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jo Victory Sadalla most recently updated or revised?
The details related to Jo Victory Sadalla, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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