Diana Jodi Frederick in Sahuarita - Clinical
Diana Jodi Frederick - NPI 1356525083
Diana Jodi Frederick is a Clinical in Sahuarita, Arizona. Diana Jodi Frederick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diana Jodi Frederick is 1356525083. The last update date is 2012-04-06.
Diana Jodi Frederick's current location address is 57 W Calle La Bolita, Sahuarita, Arizona. You can contact this provider via phone number 5207436640. The mailing address for Diana Jodi Frederick is 57 W Calle La Bolita, Sahuarita, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Jodi Frederick |
|---|---|
| Address | 57 W Calle La Bolita, Sahuarita, Arizona |
| Phone Number | 5207436640 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1356525083 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2012-04-06 |
Provider Mailing Address Detail
| Address | 57 W Calle La Bolita |
|---|---|
| City | Sahuarita |
| State | Arizona (AZ) |
| Post Code | 856298663 |
| Phone Number | 5207436640 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12321 |
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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 Diana Jodi Frederick by the Centers for Medicare & Medicaid Services?
The Diana Jodi Frederick has been assigned the NPI (National Provider Identifier) 1356525083. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diana Jodi Frederick?
The Diana Jodi Frederick is situated at 57 W Calle La Bolita, in the city of Sahuarita, state of AZ, with the zip code 856298663.
What is Diana Jodi Frederick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diana Jodi Frederick is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356525083 to Diana Jodi Frederick?
The Diana Jodi Frederick received its 1356525083 assignment from the Centers for Medicare & Medicaid Services on 2007-12-17.
When was the information related to Diana Jodi Frederick most recently updated or refreshed?
The details pertaining to the Diana Jodi Frederick, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-06.