Dennis Brent Irving in Anaheim - Clinical
Dennis Brent Irving - NPI 1164598355
Dennis Brent Irving is a Clinical in Anaheim, California. Dennis Brent Irving practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis Brent Irving is 1164598355. The last update date is 2007-07-08.
Dennis Brent Irving's current location address is 2503 E Puritan Cir, Anaheim, California. You can contact this provider via phone number 7149915414. The mailing address for Dennis Brent Irving is 2503 E Puritan Cir, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Brent Irving |
|---|---|
| Address | 2503 E Puritan Cir, Anaheim, California |
| Phone Number | 7149915414 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164598355 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2503 E Puritan Cir |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928064314 |
| Phone Number | 7149915414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 11053 |
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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 10-digit identification code issued to Dennis Brent Irving by the Centers for Medicare & Medicaid Services?
The Dennis Brent Irving has been assigned the NPI (National Provider Identifier) 1164598355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Dennis Brent Irving's facilities are geographically located?
The facilities of Dennis Brent Irving are physically situated at the following location: 2503 E Puritan Cir, Anaheim, CA, 928064314.
What is Dennis Brent Irving's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dennis Brent Irving is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Dennis Brent Irving receive its 1164598355 assignment from the Centers for Medicare & Medicaid Services?
The Dennis Brent Irving was assigned its 1164598355 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Dennis Brent Irving's information last updated?
The Dennis Brent Irving's information was last updated on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN