Patricia Barbara Ladue in Fort Bragg - Clinical
Patricia Barbara Ladue - NPI 1265556724
Patricia Barbara Ladue is a Clinical in Fort Bragg, California. Patricia Barbara Ladue practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Barbara Ladue is 1265556724. The last update date is 2007-07-08.
Patricia Barbara Ladue's current location address is 205 South St, Fort Bragg, California. You can contact this provider via phone number 7079641251 and fax number 7079612722. The mailing address for Patricia Barbara Ladue is 205 South St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Barbara Ladue |
|---|---|
| Address | 205 South St, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265556724 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 South St |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375540 |
| Phone Number | 7079641251 |
| Fax Number | 7079612722 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS17488 |
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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 |
|---|---|---|---|
| FHC03967F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patricia Barbara Ladue by the Centers for Medicare & Medicaid Services?
The Patricia Barbara Ladue has been assigned the NPI (National Provider Identifier) 1265556724 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Patricia Barbara Ladue is located?
The Patricia Barbara Ladue is situated at the following address: 205 South St, Fort Bragg, CA, 954375540.
What is the Patricia Barbara Ladue's specialty and taxonomy code?
The Patricia Barbara Ladue's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1265556724 assigned to Patricia Barbara Ladue?
The Patricia Barbara Ladue was issued its 1265556724 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Patricia Barbara Ladue most recently updated or revised?
The details related to Patricia Barbara Ladue, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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