Wendy Michelle Douglas in Los Angeles - Clinical
Wendy Michelle Douglas - NPI 1457439648
Wendy Michelle Douglas is a Clinical in Los Angeles, California. Wendy Michelle Douglas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wendy Michelle Douglas is 1457439648. The last update date is 2007-07-08.
Wendy Michelle Douglas's current location address is 11080 W Olympic Blvd, Los Angeles, California. You can contact this provider via phone number 3109666577 and fax number 3109669473. The mailing address for Wendy Michelle Douglas is 11080 W Olympic Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Michelle Douglas |
|---|---|
| Address | 11080 W Olympic Blvd, Los Angeles, California |
| Phone Number | 3109666577 |
| Fax Number | 3109669473 |
| Sole Proprietor | N |
| Credentials | MSW, MSPH |
NPI Number Detail
| NPI Number | 1457439648 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11080 W Olympic Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900641937 |
| Phone Number | 3109666577 |
| Fax Number | 3109669473 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW17237 |
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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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What is the unique 10-digit identifier code assigned to Wendy Michelle Douglas by the Centers for Medicare & Medicaid Services?
The Wendy Michelle Douglas has been issued the NPI (National Provider Identifier) 1457439648 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Wendy Michelle Douglas located?
The Wendy Michelle Douglas is located at 11080 W Olympic Blvd, Los Angeles, CA 900641937.
What is Wendy Michelle Douglas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wendy Michelle Douglas is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457439648 to Wendy Michelle Douglas?
The Centers for Medicare & Medicaid Services originally issued the 1457439648 to Wendy Michelle Douglas on 2006-11-02.
As of what date were the details pertaining to Wendy Michelle Douglas last refreshed?
The information related to the Wendy Michelle Douglas, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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