Michael Edward Roback in Los Angeles - Clinical

Michael Edward Roback - NPI 1346306990

Michael Edward Roback is a Clinical in Los Angeles, California. Michael Edward Roback practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Edward Roback is 1346306990. The last update date is 2013-06-14.

Michael Edward Roback's current location address is 380 N Kenter Ave, Los Angeles, California. You can contact this provider via phone number 3104723385 and fax number 3104723386. The mailing address for Michael Edward Roback is 380 N Kenter Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Edward Roback
Address 380 N Kenter Ave, Los Angeles, California
Phone Number 3104723385
Fax Number 3104723386
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1346306990
Provider Enumeration Date 2006-12-28
Last Updated Date 2013-06-14

Provider Mailing Address Detail

Address 380 N Kenter Ave
City Los Angeles
State California (CA)
Post Code 900492338
Phone Number 3104723385
Fax Number 3104723386

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS11715
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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FAQs about Michael Edward Roback

What is the unique identifier code issued to Michael Edward Roback by the Centers for Medicare & Medicaid Services?

The Michael Edward Roback has been assigned the NPI (National Provider Identifier) 1346306990. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Michael Edward Roback located?

The Michael Edward Roback is located at 380 N Kenter Ave, Los Angeles, CA 900492338.

What is the Michael Edward Roback's specialty and taxonomy code?

The Michael Edward Roback's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When did Michael Edward Roback receive its 1346306990 assignment?

The Michael Edward Roback was assigned its 1346306990 on 2006-12-28, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Michael Edward Roback most recently updated or revised?

The information pertaining to Michael Edward Roback, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-14.

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