Mattie Lee Sango is a Clinical in Fairfield, California. Mattie Lee Sango practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mattie Lee Sango is 1285796102. The last update date is 2007-07-08.
Mattie Lee Sango's current location address is 275 Beck Ave, Fairfield, California. You can contact this provider via phone number 7073994988 and fax number 7073994999. The mailing address for Mattie Lee Sango is 275 Beck Ave, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mattie Lee Sango |
|---|---|
| Address | 275 Beck Ave, Fairfield, California |
| Phone Number | 7073994988 |
| Fax Number | 7073994999 |
| Sole Proprietor | Y |
| Credentials | ASW |
NPI Number Detail
| NPI Number | 1285796102 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 275 Beck Ave |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945336804 |
| Phone Number | 7073994988 |
| Fax Number | 7073994999 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17098 |
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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 Mattie Lee Sango by the Centers for Medicare & Medicaid Services?
The Mattie Lee Sango has been assigned the NPI (National Provider Identifier) 1285796102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mattie Lee Sango's physical address?
The Mattie Lee Sango is physically located at 275 Beck Ave, in the city of Fairfield, CA, with the postal code 945336804.
What is Mattie Lee Sango's area of expertise and its corresponding taxonomy classification?
The Mattie Lee Sango's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1285796102 to Mattie Lee Sango?
The Centers for Medicare & Medicaid Services assigned the 1285796102 to Mattie Lee Sango on 2006-12-15.
When was the Mattie Lee Sango's information last updated?
The Mattie Lee Sango's information was last updated on 2007-07-08.
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