Mabel None Moses is a Clinical in Antioch, California. Mabel None Moses practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mabel None Moses is 1215001607. The last update date is 2007-07-08.
Mabel None Moses's current location address is 4548 Imperial Way, Antioch, California. You can contact this provider via phone number 9258134257. The mailing address for Mabel None Moses is 4548 Imperial Way, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mabel None Moses |
|---|---|
| Address | 4548 Imperial Way, Antioch, California |
| Phone Number | 9258134257 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW. ACSW |
NPI Number Detail
| NPI Number | 1215001607 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4548 Imperial Way |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945319386 |
| Phone Number | 9258134257 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS14451 |
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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 assigned to Mabel None Moses by the Centers for Medicare & Medicaid Services?
The Mabel None Moses has been issued the NPI (National Provider Identifier) 1215001607, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mabel None Moses's physical address?
The Mabel None Moses is physically located at 4548 Imperial Way, in the city of Antioch, CA, with the postal code 945319386.
What is Mabel None Moses'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 Mabel None Moses is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Mabel None Moses receive its 1215001607 assignment from the Centers for Medicare & Medicaid Services?
The Mabel None Moses was assigned its 1215001607 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the details related to Mabel None Moses most recently updated or revised?
The information pertaining to Mabel None Moses, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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