Monica Lynn Derkacz is a Clinical in Chico, California. Monica Lynn Derkacz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Monica Lynn Derkacz is 1770644122. The last update date is 2007-07-08.
Monica Lynn Derkacz's current location address is 500 Cohasset Rd, Chico, California. You can contact this provider via phone number 5308793863. The mailing address for Monica Lynn Derkacz is 500 Cohasset Rd, Chico, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Lynn Derkacz |
|---|---|
| Address | 500 Cohasset Rd, Chico, California |
| Phone Number | 5308793863 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ACSW |
NPI Number Detail
| NPI Number | 1770644122 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Cohasset Rd |
|---|---|
| City | Chico |
| State | California (CA) |
| Post Code | 959262260 |
| Phone Number | 5308793863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 18898 |
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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 assigned to Monica Lynn Derkacz by the Centers for Medicare & Medicaid Services?
The Monica Lynn Derkacz has been issued the NPI (National Provider Identifier) 1770644122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Monica Lynn Derkacz's physical address?
The Monica Lynn Derkacz is physically located at 500 Cohasset Rd, in the city of Chico, CA, with the postal code 959262260.
What is Monica Lynn Derkacz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Monica Lynn Derkacz is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770644122 to Monica Lynn Derkacz?
The Monica Lynn Derkacz received its 1770644122 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the Monica Lynn Derkacz's information last updated?
The Monica Lynn Derkacz's information was last updated on 2007-07-08.