Ava Marie Imotichey in Cerritos - Clinical
Ava Marie Imotichey - NPI 1992893572
Ava Marie Imotichey is a Clinical in Cerritos, California. Ava Marie Imotichey practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ava Marie Imotichey is 1992893572. The last update date is 2007-07-08.
Ava Marie Imotichey's current location address is 17707 Studebaker Rd, Cerritos, California. You can contact this provider via phone number 5624020677. The mailing address for Ava Marie Imotichey is 17707 Studebaker Rd, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ava Marie Imotichey |
|---|---|
| Address | 17707 Studebaker Rd, Cerritos, California |
| Phone Number | 5624020677 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992893572 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17707 Studebaker Rd |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907032640 |
| Phone Number | 5624020677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 22484 |
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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 Ava Marie Imotichey by the Centers for Medicare & Medicaid Services?
The Ava Marie Imotichey has been assigned the NPI (National Provider Identifier) 1992893572 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ava Marie Imotichey's facilities are geographically located?
The facilities of Ava Marie Imotichey are physically situated at the following location: 17707 Studebaker Rd, Cerritos, CA, 907032640.
What is Ava Marie Imotichey's area of expertise and its corresponding taxonomy classification?
The Ava Marie Imotichey's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992893572 to Ava Marie Imotichey?
The Centers for Medicare & Medicaid Services originally issued the 1992893572 to Ava Marie Imotichey on 2006-10-10.
As of what date were the details related to Ava Marie Imotichey most recently updated or revised?
The information pertaining to Ava Marie Imotichey, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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