Derek James Mckernan in Los Angeles - Clinical
Derek James Mckernan - NPI 1205975661
Derek James Mckernan is a Clinical in Los Angeles, California. Derek James Mckernan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derek James Mckernan is 1205975661. The last update date is 2013-01-16.
Derek James Mckernan's current location address is 5427 Whittier Blvd, Los Angeles, California. You can contact this provider via phone number 3238695432. The mailing address for Derek James Mckernan is 5427 Whittier Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek James Mckernan |
|---|---|
| Address | 5427 Whittier Blvd, Los Angeles, California |
| Phone Number | 3238695432 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1205975661 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2013-01-16 |
Provider Mailing Address Detail
| Address | 5427 Whittier Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 9002241010 |
| Phone Number | 3238695432 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS26649 |
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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 |
|---|---|---|---|
| LCS26649 | CA | CALIFORNIA BOARD OF BEHAVIORAL |
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What is the unique 10-digit identification code issued to Derek James Mckernan by the Centers for Medicare & Medicaid Services?
The Derek James Mckernan has been assigned the NPI (National Provider Identifier) 1205975661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Derek James Mckernan is located?
The Derek James Mckernan is situated at the following address: 5427 Whittier Blvd, Los Angeles, CA, 9002241010.
What is Derek James Mckernan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek James Mckernan'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 1205975661 to Derek James Mckernan?
The Centers for Medicare & Medicaid Services originally issued the 1205975661 to Derek James Mckernan on 2007-02-05.
When was the information regarding Derek James Mckernan most recently updated?
The details pertaining to the Derek James Mckernan, including its address, specialty, and other relevant information, were last refreshed on 2013-01-16.