Vicki Lj Young is a Clinical in Berkeley, California. Vicki Lj Young practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vicki Lj Young is 1669693644. The last update date is 2007-07-08.
Vicki Lj Young's current location address is 2404 Sacramento St., Berkeley, California. You can contact this provider via phone number 5107049467. The mailing address for Vicki Lj Young is 2404 Sacramento St., Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Lj Young |
|---|---|
| Address | 2404 Sacramento St., Berkeley, California |
| Phone Number | 5107049467 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669693644 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2404 Sacramento St. |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 94702 |
| Phone Number | 5107049467 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 11211 |
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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 identifier code issued to Vicki Lj Young by the Centers for Medicare & Medicaid Services?
The Vicki Lj Young has been assigned the NPI (National Provider Identifier) 1669693644 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Vicki Lj Young is physically located?
The Vicki Lj Young is physically situated at the following address: 2404 Sacramento St., Berkeley, CA, 94702.
What is the Vicki Lj Young's specialty and taxonomy code?
The Vicki Lj Young's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Vicki Lj Young receive its 1669693644 assignment?
The Vicki Lj Young was assigned its 1669693644 on 2007-05-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Vicki Lj Young most recently updated?
The details pertaining to the Vicki Lj Young, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA