Kristin Licciardo in Los Angeles - Clinical
Kristin Licciardo - NPI 1760571335
Kristin Licciardo is a Clinical in Los Angeles, California. Kristin Licciardo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristin Licciardo is 1760571335. The last update date is 2007-07-08.
Kristin Licciardo's current location address is 550 S Vermont Ave Fl 3, Los Angeles, California. You can contact this provider via phone number 2137386165 and fax number 2137386521. The mailing address for Kristin Licciardo is 550 S Vermont Ave Fl 3, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Licciardo |
|---|---|
| Address | 550 S Vermont Ave Fl 3, Los Angeles, California |
| Phone Number | 2137386165 |
| Fax Number | 2137386521 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1760571335 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 S Vermont Ave Fl 3 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900201912 |
| Phone Number | 2137386165 |
| Fax Number | 2137386521 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 20229 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kristin Licciardo by the Centers for Medicare & Medicaid Services?
The Kristin Licciardo has been assigned the NPI (National Provider Identifier) 1760571335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kristin Licciardo's facilities are situated?
The facilities of Kristin Licciardo are physically located at the following address: 550 S Vermont Ave Fl 3, Los Angeles, CA, 900201912.
What is Kristin Licciardo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristin Licciardo is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760571335 to Kristin Licciardo?
The Kristin Licciardo received its 1760571335 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date was the information pertaining to Kristin Licciardo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kristin Licciardo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.