Johanna Carroll is a Clinical in Clovis, California. Johanna Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Johanna Carroll is 1013040211. The last update date is 2007-07-08.
Johanna Carroll's current location address is 7794 N De Wolf Ave, Clovis, California. You can contact this provider via phone number 5593236947. The mailing address for Johanna Carroll is 7794 N De Wolf Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna Carroll |
|---|---|
| Address | 7794 N De Wolf Ave, Clovis, California |
| Phone Number | 5593236947 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013040211 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7794 N De Wolf Ave |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936199008 |
| Phone Number | 5593236947 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15472 |
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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 identification code issued to Johanna Carroll by the Centers for Medicare & Medicaid Services?
The Johanna Carroll has been assigned the NPI (National Provider Identifier) 1013040211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Johanna Carroll?
The Johanna Carroll is situated at 7794 N De Wolf Ave, in the city of Clovis, state of CA, with the zip code 936199008.
What is Johanna Carroll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Johanna Carroll is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Johanna Carroll receive its 1013040211?
The Johanna Carroll was issued its 1013040211 on 2007-03-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Johanna Carroll last refreshed?
The information related to the Johanna Carroll, including its address, specialty, and other relevant details, was last updated on 2007-07-08.