Elizabeth Ketcham Whitteker in San Diego - Clinical
Elizabeth Ketcham Whitteker - NPI 1174605729
Elizabeth Ketcham Whitteker is a Clinical in San Diego, California. Elizabeth Ketcham Whitteker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Ketcham Whitteker is 1174605729. The last update date is 2007-07-08.
Elizabeth Ketcham Whitteker's current location address is 3211 Jefferson St, San Diego, California. You can contact this provider via phone number 6196824012. The mailing address for Elizabeth Ketcham Whitteker is 3211 Jefferson St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Ketcham Whitteker |
|---|---|
| Address | 3211 Jefferson St, San Diego, California |
| Phone Number | 6196824012 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174605729 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3211 Jefferson St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921104424 |
| Phone Number | 6196824012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R062296-1 |
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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 Elizabeth Ketcham Whitteker's unique identification number?
The Elizabeth Ketcham Whitteker has been assigned the NPI (National Provider Identifier) Number 1174605729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Elizabeth Ketcham Whitteker's physical address?
The Elizabeth Ketcham Whitteker is physically located at 3211 Jefferson St, in the city of San Diego, CA, with the postal code 921104424.
What is Elizabeth Ketcham Whitteker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elizabeth Ketcham Whitteker is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174605729 to Elizabeth Ketcham Whitteker?
The Centers for Medicare & Medicaid Services originally issued the 1174605729 to Elizabeth Ketcham Whitteker on 2006-10-20.
When was the information regarding Elizabeth Ketcham Whitteker most recently updated?
The details pertaining to the Elizabeth Ketcham Whitteker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.