Ivy Kit Fong Mok is a Clinical in Burlingame, California. Ivy Kit Fong Mok practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ivy Kit Fong Mok is 1619093135. The last update date is 2007-07-08.
Ivy Kit Fong Mok's current location address is 1404 Grove Ave, Burlingame, California. You can contact this provider via phone number 6503335439 and fax number 6503443645. The mailing address for Ivy Kit Fong Mok is 1404 Grove Ave, Burlingame, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Kit Fong Mok |
|---|---|
| Address | 1404 Grove Ave, Burlingame, California |
| Phone Number | 6503335439 |
| Fax Number | 6503443645 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619093135 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1404 Grove Ave |
|---|---|
| City | Burlingame |
| State | California (CA) |
| Post Code | 940103317 |
| Phone Number | 6503335439 |
| Fax Number | 6503443645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS9304 |
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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 identification code assigned to Ivy Kit Fong Mok by the Centers for Medicare & Medicaid Services?
The Ivy Kit Fong Mok has been issued the NPI (National Provider Identifier) 1619093135. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ivy Kit Fong Mok?
The Ivy Kit Fong Mok is physically situated at 1404 Grove Ave, in the city of Burlingame, state of CA, with the postal code 940103317.
What is the Ivy Kit Fong Mok's specialty and taxonomy code?
The Ivy Kit Fong Mok's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1619093135 assigned to Ivy Kit Fong Mok?
The Ivy Kit Fong Mok was issued its 1619093135 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Ivy Kit Fong Mok, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ivy Kit Fong Mok, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.