Larry Antonio Woodland in Los Angeles - Clinical
Larry Antonio Woodland - NPI 1164507349
Larry Antonio Woodland is a Clinical in Los Angeles, California. Larry Antonio Woodland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Antonio Woodland is 1164507349. The last update date is 2023-08-21.
Larry Antonio Woodland's current location address is 821 S Gramercy Pl, Los Angeles, California. You can contact this provider via phone number 5103877965 and fax number 2136323192. The mailing address for Larry Antonio Woodland is 821 S Gramercy Pl, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Antonio Woodland |
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Address | 821 S Gramercy Pl, Los Angeles, California |
Phone Number | 5103877965 |
Fax Number | 2136323192 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1164507349 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
Address | 821 S Gramercy Pl |
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City | Los Angeles |
State | California (CA) |
Post Code | 900053449 |
Phone Number | 5103877965 |
Fax Number | 2136323192 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 75802 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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83-2560750 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry Antonio Woodland by the Centers for Medicare & Medicaid Services (CMS)?
The Larry Antonio Woodland has been assigned the NPI (National Provider Identifier) 1164507349. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Larry Antonio Woodland's physical address?
The Larry Antonio Woodland is physically located at 821 S Gramercy Pl, in the city of Los Angeles, CA, with the postal code 900053449.
What is Larry Antonio Woodland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Antonio Woodland is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Larry Antonio Woodland receive its 1164507349 assignment from the Centers for Medicare & Medicaid Services?
The Larry Antonio Woodland was assigned its 1164507349 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Antonio Woodland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Antonio Woodland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-21.