Linda Marlene Poverny in Los Angeles - Clinical

Linda Marlene Poverny - NPI 1699791202

Linda Marlene Poverny is a Clinical in Los Angeles, California. Linda Marlene Poverny practices all healthcare services and medical treatments related to Clinical. The NPI Number for Linda Marlene Poverny is 1699791202. The last update date is 2007-07-09.

Linda Marlene Poverny's current location address is 3215 Ettrick St, Los Angeles, California. You can contact this provider via phone number 3236610403 and fax number 3236671253. The mailing address for Linda Marlene Poverny is 3215 Ettrick St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda Marlene Poverny
Address 3215 Ettrick St, Los Angeles, California
Phone Number 3236610403
Fax Number 3236671253
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1699791202
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3215 Ettrick St
City Los Angeles
State California (CA)
Post Code 900272503
Phone Number 3236610403
Fax Number 3236671253

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LL9543
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
LL9543 CA LICENSE

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FAQs about Linda Marlene Poverny

What is the unique 10-digit identifier code assigned to Linda Marlene Poverny by the Centers for Medicare & Medicaid Services?

The Linda Marlene Poverny has been issued the NPI (National Provider Identifier) 1699791202 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Linda Marlene Poverny is physically located?

The Linda Marlene Poverny is situated at the following address: 3215 Ettrick St, Los Angeles, CA 900272503.

What is Linda Marlene Poverny'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 Linda Marlene Poverny is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Linda Marlene Poverny receive its 1699791202 assignment from the Centers for Medicare & Medicaid Services?

The Linda Marlene Poverny was assigned its 1699791202 by the Centers for Medicare & Medicaid Services on 2006-07-15.

As of what date was the information pertaining to Linda Marlene Poverny, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Linda Marlene Poverny, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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