Andrew Stan Gruchy in Alta Loma - Clinical
Andrew Stan Gruchy - NPI 1942349204
Andrew Stan Gruchy is a Clinical in Alta Loma, California. Andrew Stan Gruchy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrew Stan Gruchy is 1942349204. The last update date is 2007-07-08.
Andrew Stan Gruchy's current location address is 7031 Elburn Ct, Alta Loma, California. You can contact this provider via phone number 9094219410. The mailing address for Andrew Stan Gruchy is 7031 Elburn Ct, Alta Loma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Stan Gruchy |
|---|---|
| Address | 7031 Elburn Ct, Alta Loma, California |
| Phone Number | 9094219410 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942349204 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7031 Elburn Ct |
|---|---|
| City | Alta Loma |
| State | California (CA) |
| Post Code | 917016080 |
| Phone Number | 9094219410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 14344 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS 14344 | CA | LIC. CLINICAL SOCIAL WORH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Andrew Stan Gruchy by the Centers for Medicare & Medicaid Services?
The Andrew Stan Gruchy has been issued the NPI (National Provider Identifier) 1942349204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Andrew Stan Gruchy?
The Andrew Stan Gruchy is situated at 7031 Elburn Ct, in the city of Alta Loma, state of CA, with the zip code 917016080.
What is the Andrew Stan Gruchy's area of specialization and corresponding taxonomy classification?
The Andrew Stan Gruchy's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1942349204 assigned to Andrew Stan Gruchy?
The Andrew Stan Gruchy was issued its 1942349204 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Andrew Stan Gruchy's details last updated?
The information pertaining to the Andrew Stan Gruchy, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA