Jill Ann Pederson in Fountain Valley - Clinical
Jill Ann Pederson - NPI 1750391678
Jill Ann Pederson is a Clinical in Fountain Valley, California. Jill Ann Pederson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Ann Pederson is 1750391678. The last update date is 2022-01-21.
Jill Ann Pederson's current location address is 18350 Mount Langley St Ste 200, Fountain Valley, California. You can contact this provider via phone number 9495690182 and fax number 7143782631. The mailing address for Jill Ann Pederson is 18350 Mount Langley St Ste 200, Fountain Valley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jill Ann Pederson |
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Address | 18350 Mount Langley St Ste 200, Fountain Valley, California |
Phone Number | 9495690182 |
Fax Number | 7143782631 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1750391678 |
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Provider Enumeration Date | 2006-08-09 |
Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
Address | 18350 Mount Langley St Ste 200 |
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City | Fountain Valley |
State | California (CA) |
Post Code | 927086912 |
Phone Number | 9495690182 |
Fax Number | 7143782631 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 20622 |
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 identification code assigned to Jill Ann Pederson by the Centers for Medicare & Medicaid Services?
The Jill Ann Pederson has been issued the NPI (National Provider Identifier) 1750391678. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jill Ann Pederson's facilities are situated?
The facilities of Jill Ann Pederson are physically located at the following address: 18350 Mount Langley St Ste 200, Fountain Valley, CA, 927086912.
What is Jill Ann Pederson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jill Ann Pederson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750391678 to Jill Ann Pederson?
The Jill Ann Pederson received its 1750391678 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information regarding Jill Ann Pederson most recently updated?
The details pertaining to the Jill Ann Pederson, including its address, specialty, and other relevant information, were last refreshed on 2022-01-21.