Michelle Alisa Bucholtz in Long Beach - Clinical
Michelle Alisa Bucholtz - NPI 1255455515
Michelle Alisa Bucholtz is a Clinical in Long Beach, California. Michelle Alisa Bucholtz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Alisa Bucholtz is 1255455515. The last update date is 2018-02-01.
Michelle Alisa Bucholtz's current location address is 5190 Atlantic Ave, Long Beach, California. You can contact this provider via phone number 5624284111. The mailing address for Michelle Alisa Bucholtz is 5190 Atlantic Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Alisa Bucholtz |
|---|---|
| Address | 5190 Atlantic Ave, Long Beach, California |
| Phone Number | 5624284111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1255455515 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2018-02-01 |
Provider Mailing Address Detail
| Address | 5190 Atlantic Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908056510 |
| Phone Number | 5624284111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 78430 |
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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 identification code assigned to Michelle Alisa Bucholtz by the Centers for Medicare & Medicaid Services?
The Michelle Alisa Bucholtz has been issued the NPI (National Provider Identifier) 1255455515. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michelle Alisa Bucholtz's facilities are situated?
The facilities of Michelle Alisa Bucholtz are physically located at the following address: 5190 Atlantic Ave, Long Beach, CA, 908056510.
What is Michelle Alisa Bucholtz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle Alisa Bucholtz is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Michelle Alisa Bucholtz receive its 1255455515 assignment from the Centers for Medicare & Medicaid Services?
The Michelle Alisa Bucholtz was assigned its 1255455515 by the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date was the information regarding Michelle Alisa Bucholtz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle Alisa Bucholtz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-02-01.
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