Andrea Carolyn Bardack in Beverly Hills - Clinical

Andrea Carolyn Bardack - NPI 1205958261

Andrea Carolyn Bardack is a Clinical in Beverly Hills, California. Andrea Carolyn Bardack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Carolyn Bardack is 1205958261. The last update date is 2007-07-08.

Andrea Carolyn Bardack's current location address is Po Box 18316, Beverly Hills, California. You can contact this provider via phone number 3104330119 and fax number 3102782560. The mailing address for Andrea Carolyn Bardack is Po Box 18316, Beverly Hills, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Carolyn Bardack
Address Po Box 18316, Beverly Hills, California
Phone Number 3104330119
Fax Number 3102782560
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1205958261
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 18316
City Beverly Hills
State California (CA)
Post Code 902094316
Phone Number 3104330119
Fax Number 3102782560

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 21812
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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FAQs about Andrea Carolyn Bardack

What is the unique identifier code issued to Andrea Carolyn Bardack by the Centers for Medicare & Medicaid Services (CMS)?

The Andrea Carolyn Bardack has been assigned the NPI (National Provider Identifier) 1205958261. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Andrea Carolyn Bardack is located?

The Andrea Carolyn Bardack is situated at the following address: Po Box 18316, Beverly Hills, CA, 902094316.

What is Andrea Carolyn Bardack's area of expertise and its corresponding taxonomy classification?

The Andrea Carolyn Bardack's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

When did Andrea Carolyn Bardack receive its 1205958261 assignment?

The Andrea Carolyn Bardack was assigned its 1205958261 on 2007-04-03, which is the date when this unique identifier was issued to the organization.

When was the Andrea Carolyn Bardack's information last updated?

The Andrea Carolyn Bardack's information was last updated on 2007-07-08.

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