Sidary Sam is a Clinical in Long Beach, California. Sidary Sam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sidary Sam is 1962557900. The last update date is 2021-03-08.
Sidary Sam's current location address is 4510 E Pacific Coast Hwy Ste 600, Long Beach, California. You can contact this provider via phone number 5623461100. The mailing address for Sidary Sam is 4510 E Pacific Coast Hwy Ste 600, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sidary Sam |
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Address | 4510 E Pacific Coast Hwy Ste 600, Long Beach, California |
Phone Number | 5623461100 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSW |
NPI Number Detail
NPI Number | 1962557900 |
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Provider Enumeration Date | 2007-01-23 |
Last Updated Date | 2021-03-08 |
Provider Mailing Address Detail
Address | 4510 E Pacific Coast Hwy Ste 600 |
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City | Long Beach |
State | California (CA) |
Post Code | 908046914 |
Phone Number | 5623461100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW94013 |
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 assigned to Sidary Sam by the Centers for Medicare & Medicaid Services?
The Sidary Sam has been issued the NPI (National Provider Identifier) 1962557900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sidary Sam?
The Sidary Sam is physically situated at 4510 E Pacific Coast Hwy Ste 600, in the city of Long Beach, state of CA, with the postal code 908046914.
What is the Sidary Sam's area of specialization and corresponding taxonomy classification?
The Sidary Sam's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Sidary Sam's 1962557900 issued?
The Sidary Sam's 1962557900 was issued on 2007-01-23.
When was the information related to Sidary Sam most recently updated or refreshed?
The details pertaining to the Sidary Sam, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-08.
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