John Tesco Goodson is a Clinical in Colton, California. John Tesco Goodson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Tesco Goodson is 1124149117. The last update date is 2015-11-05.
John Tesco Goodson's current location address is 791 N. Pepper Ave., Colton, California. You can contact this provider via phone number 9098240480 and fax number 9098240487. The mailing address for John Tesco Goodson is 791 N. Pepper Ave., Colton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Tesco Goodson |
|---|---|
| Address | 791 N. Pepper Ave., Colton, California |
| Phone Number | 9098240480 |
| Fax Number | 9098240487 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124149117 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2015-11-05 |
Provider Mailing Address Detail
| Address | 791 N. Pepper Ave. |
|---|---|
| City | Colton |
| State | California (CA) |
| Post Code | 92324 |
| Phone Number | 9098240480 |
| Fax Number | 9098240487 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3494093501 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ACSW 28988 | CA | BOARD OF BEHAVIORAL SCIENCES - |
Post Comment/ Review Below
What is the John Tesco Goodson's unique identification number?
The John Tesco Goodson has been assigned the NPI (National Provider Identifier) Number 1124149117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where John Tesco Goodson is physically located?
The John Tesco Goodson is physically situated at the following address: 791 N. Pepper Ave., Colton, CA, 92324.
What is the area of specialization for John Tesco Goodson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Tesco Goodson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did John Tesco Goodson receive its 1124149117 assignment?
The John Tesco Goodson was assigned its 1124149117 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Tesco Goodson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Tesco Goodson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-05.
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