Mila L Shank is a Clinical in Boulder Creek, California. Mila L Shank practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mila L Shank is 1154544591. The last update date is 2023-10-26.
Mila L Shank's current location address is 720 Blue Ridge Dr, Boulder Creek, California. You can contact this provider via phone number 8315353295. The mailing address for Mila L Shank is 720 Blue Ridge Dr, Boulder Creek, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mila L Shank |
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Address | 720 Blue Ridge Dr, Boulder Creek, California |
Phone Number | 8315353295 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1154544591 |
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Provider Enumeration Date | 2007-04-11 |
Last Updated Date | 2023-10-26 |
Provider Mailing Address Detail
Address | 720 Blue Ridge Dr |
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City | Boulder Creek |
State | California (CA) |
Post Code | 950069658 |
Phone Number | 8315353295 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 26102 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
#44A5 | CA | PARENTS CENTER | |
ZZZ91892Z | CA | SANTA CRUZ COUNTY MEDICARE GRO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mila L Shank by the Centers for Medicare & Medicaid Services?
The Mila L Shank has been issued the NPI (National Provider Identifier) 1154544591, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mila L Shank's physical address?
The Mila L Shank is physically located at 720 Blue Ridge Dr, in the city of Boulder Creek, CA, with the postal code 950069658.
What is Mila L Shank's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mila L Shank's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Mila L Shank receive its 1154544591?
The Mila L Shank was issued its 1154544591 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mila L Shank, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mila L Shank, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-26.