Diane C Evans is a Clinical in Davis, California. Diane C Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane C Evans is 1518166750. The last update date is 2012-08-21.
Diane C Evans's current location address is 675 Cantrill Dr, Davis, California. You can contact this provider via phone number 5307502020. The mailing address for Diane C Evans is 675 Cantrill Dr, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane C Evans |
|---|---|
| Address | 675 Cantrill Dr, Davis, California |
| Phone Number | 5307502020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518166750 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2012-08-21 |
Provider Mailing Address Detail
| Address | 675 Cantrill Dr |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956187757 |
| Phone Number | 5307502020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW8644 |
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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 |
|---|---|---|---|
| ZZZ06185Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Diane C Evans by the Centers for Medicare & Medicaid Services?
The Diane C Evans has been issued the NPI (National Provider Identifier) 1518166750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Diane C Evans?
The Diane C Evans is physically situated at 675 Cantrill Dr, in the city of Davis, state of CA, with the postal code 956187757.
What is Diane C Evans's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane C Evans'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 Centers for Medicare & Medicaid Services assign the 1518166750 to Diane C Evans?
The Centers for Medicare & Medicaid Services assigned the 1518166750 to Diane C Evans on 2007-07-17.
As of what date were the Diane C Evans's details last updated?
The information pertaining to the Diane C Evans, including its address, specialty, and other details, was most recently updated on 2012-08-21.