Stacy Elise Vanbruggen-O'Ro in Fresno - Clinical
Stacy Elise Vanbruggen-O'Ro - NPI 1689702649
Stacy Elise Vanbruggen-O'Ro is a Clinical in Fresno, California. Stacy Elise Vanbruggen-O'Ro practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Elise Vanbruggen-O'Ro is 1689702649. The last update date is 2021-08-05.
Stacy Elise Vanbruggen-O'Ro's current location address is 4441 E Kings Canyon Rd, Fresno, California. You can contact this provider via phone number 5596006850. The mailing address for Stacy Elise Vanbruggen-O'Ro is 4441 E Kings Canyon Rd, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Elise Vanbruggen-O'Ro |
|---|---|
| Address | 4441 E Kings Canyon Rd, Fresno, California |
| Phone Number | 5596006850 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1689702649 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2021-08-05 |
Provider Mailing Address Detail
| Address | 4441 E Kings Canyon Rd |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937023604 |
| Phone Number | 5596006850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22237 |
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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 Stacy Elise Vanbruggen-O'Ro by the Centers for Medicare & Medicaid Services (CMS)?
The Stacy Elise Vanbruggen-O'Ro has been assigned the NPI (National Provider Identifier) 1689702649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Stacy Elise Vanbruggen-O'Ro?
The Stacy Elise Vanbruggen-O'Ro is physically situated at 4441 E Kings Canyon Rd, in the city of Fresno, state of CA, with the postal code 937023604.
What is Stacy Elise Vanbruggen-O'Ro's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Elise Vanbruggen-O'Ro is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689702649 to Stacy Elise Vanbruggen-O'Ro?
The Centers for Medicare & Medicaid Services originally issued the 1689702649 to Stacy Elise Vanbruggen-O'Ro on 2007-03-01.
When was the information regarding Stacy Elise Vanbruggen-O'Ro most recently updated?
The details pertaining to the Stacy Elise Vanbruggen-O'Ro, including its address, specialty, and other relevant information, were last refreshed on 2021-08-05.
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