Brenda Aguilar Mandac in Campbell - Clinical
Brenda Aguilar Mandac - NPI 1699831305
Brenda Aguilar Mandac is a Clinical in Campbell, California. Brenda Aguilar Mandac practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Aguilar Mandac is 1699831305. The last update date is 2007-07-08.
Brenda Aguilar Mandac's current location address is 200 E Hacienda Ave, Campbell, California. You can contact this provider via phone number 4088715800. The mailing address for Brenda Aguilar Mandac is 200 E Hacienda Ave, Campbell, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Aguilar Mandac |
|---|---|
| Address | 200 E Hacienda Ave, Campbell, California |
| Phone Number | 4088715800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699831305 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 E Hacienda Ave |
|---|---|
| City | Campbell |
| State | California (CA) |
| Post Code | 950086617 |
| Phone Number | 4088715800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS16488 |
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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 Brenda Aguilar Mandac by the Centers for Medicare & Medicaid Services?
The Brenda Aguilar Mandac has been assigned the NPI (National Provider Identifier) 1699831305 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brenda Aguilar Mandac's facilities are situated?
The facilities of Brenda Aguilar Mandac are physically located at the following address: 200 E Hacienda Ave, Campbell, CA, 950086617.
What is Brenda Aguilar Mandac's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda Aguilar Mandac's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Brenda Aguilar Mandac receive its 1699831305 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Aguilar Mandac was assigned its 1699831305 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information related to Brenda Aguilar Mandac most recently updated or refreshed?
The details pertaining to the Brenda Aguilar Mandac, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1194728618
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