Lisa Marie Pedersen in Harbor City - Clinical
Lisa Marie Pedersen - NPI 1386857845
Lisa Marie Pedersen is a Clinical in Harbor City, California. Lisa Marie Pedersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Marie Pedersen is 1386857845. The last update date is 2021-12-27.
Lisa Marie Pedersen's current location address is 25825 Vermont Ave, Harbor City, California. You can contact this provider via phone number 4242517791. The mailing address for Lisa Marie Pedersen is 25825 Vermont Ave, Harbor City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Pedersen |
|---|---|
| Address | 25825 Vermont Ave, Harbor City, California |
| Phone Number | 4242517791 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1386857845 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2021-12-27 |
Provider Mailing Address Detail
| Address | 25825 Vermont Ave |
|---|---|
| City | Harbor City |
| State | California (CA) |
| Post Code | 907103518 |
| Phone Number | 4242517791 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS17867 |
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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 identifier code issued to Lisa Marie Pedersen by the Centers for Medicare & Medicaid Services?
The Lisa Marie Pedersen has been assigned the NPI (National Provider Identifier) 1386857845 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 Lisa Marie Pedersen is located?
The Lisa Marie Pedersen is situated at the following address: 25825 Vermont Ave, Harbor City, CA, 907103518.
What is Lisa Marie Pedersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Marie Pedersen's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386857845 to Lisa Marie Pedersen?
The Centers for Medicare & Medicaid Services originally issued the 1386857845 to Lisa Marie Pedersen on 2007-05-08.
When was the information regarding Lisa Marie Pedersen most recently updated?
The details pertaining to the Lisa Marie Pedersen, including its address, specialty, and other relevant information, were last refreshed on 2021-12-27.
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