Kenneth J Deaver is a Clinical in Los Gatos, California. Kenneth J Deaver practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth J Deaver is 1053460733. The last update date is 2007-07-08.
Kenneth J Deaver's current location address is 15951 Los Gatos Blvd Ste 18, Los Gatos, California. You can contact this provider via phone number 4083589596 and fax number 4083589596. The mailing address for Kenneth J Deaver is 15951 Los Gatos Blvd Ste 18, Los Gatos, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth J Deaver |
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Address | 15951 Los Gatos Blvd Ste 18, Los Gatos, California |
Phone Number | 4083589596 |
Fax Number | 4083589596 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1053460733 |
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Provider Enumeration Date | 2007-01-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15951 Los Gatos Blvd Ste 18 |
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City | Los Gatos |
State | California (CA) |
Post Code | 950323488 |
Phone Number | 4083589596 |
Fax Number | 4083589596 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS16585 |
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 identification code assigned to Kenneth J Deaver by the Centers for Medicare & Medicaid Services?
The Kenneth J Deaver has been issued the NPI (National Provider Identifier) 1053460733. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth J Deaver is geographically located?
The Kenneth J Deaver is physically situated at the following location: 15951 Los Gatos Blvd Ste 18, Los Gatos, CA, 950323488.
What is Kenneth J Deaver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth J Deaver's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Kenneth J Deaver receive the assignment of its 1053460733 from the Centers for Medicare & Medicaid Services?
The Kenneth J Deaver was issued its 1053460733 by the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date were the details pertaining to Kenneth J Deaver last refreshed?
The information related to the Kenneth J Deaver, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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