Samuel Tracer is a Clinical in Encinitas, California. Samuel Tracer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samuel Tracer is 1902086523. The last update date is 2007-11-12.
Samuel Tracer's current location address is 4401 Manchester Ave, Encinitas, California. You can contact this provider via phone number 7604363216 and fax number 8583500828. The mailing address for Samuel Tracer is 4401 Manchester Ave, Encinitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Tracer |
|---|---|
| Address | 4401 Manchester Ave, Encinitas, California |
| Phone Number | 7604363216 |
| Fax Number | 8583500828 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902086523 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 4401 Manchester Ave |
|---|---|
| City | Encinitas |
| State | California (CA) |
| Post Code | 920244938 |
| Phone Number | 7604363216 |
| Fax Number | 8583500828 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 7700 |
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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 identifier code issued to Samuel Tracer by the Centers for Medicare & Medicaid Services (CMS)?
The Samuel Tracer has been assigned the NPI (National Provider Identifier) 1902086523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Samuel Tracer is physically located?
The Samuel Tracer is situated at the following address: 4401 Manchester Ave, Encinitas, CA 920244938.
What is the Samuel Tracer's specialty and taxonomy code?
The Samuel Tracer's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902086523 to Samuel Tracer?
The Samuel Tracer received its 1902086523 assignment from the Centers for Medicare & Medicaid Services on 2007-11-12.
As of what date were the Samuel Tracer's details last updated?
The information pertaining to the Samuel Tracer, including its address, specialty, and other details, was most recently updated on 2007-11-12.
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