Socorro A. Ancheta-Goodacr in Madera - Clinical
Socorro A. Ancheta-Goodacr - NPI 1669697900
Socorro A. Ancheta-Goodacr is a Clinical in Madera, California. Socorro A. Ancheta-Goodacr practices all healthcare services and medical treatments related to Clinical. The NPI Number for Socorro A. Ancheta-Goodacr is 1669697900. The last update date is 2021-01-05.
Socorro A. Ancheta-Goodacr's current location address is 2192 W Park Dr, Madera, California. You can contact this provider via phone number 5594746177. The mailing address for Socorro A. Ancheta-Goodacr is 2192 W Park Dr, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Socorro A. Ancheta-Goodacr |
|---|---|
| Address | 2192 W Park Dr, Madera, California |
| Phone Number | 5594746177 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669697900 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2021-01-05 |
Provider Mailing Address Detail
| Address | 2192 W Park Dr |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936371904 |
| Phone Number | 5594746177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS22563 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCSW22563 | CA | BOARD OF BEHAVIORAL SCIENCES |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Socorro A. Ancheta-Goodacr by the Centers for Medicare & Medicaid Services?
The Socorro A. Ancheta-Goodacr has been assigned the NPI (National Provider Identifier) 1669697900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Socorro A. Ancheta-Goodacr is geographically located?
The Socorro A. Ancheta-Goodacr is physically situated at the following location: 2192 W Park Dr, Madera, CA, 936371904.
What is Socorro A. Ancheta-Goodacr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Socorro A. Ancheta-Goodacr is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1669697900 assigned to Socorro A. Ancheta-Goodacr?
The Socorro A. Ancheta-Goodacr was issued its 1669697900 on 2007-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Socorro A. Ancheta-Goodacr most recently updated or refreshed?
The details pertaining to the Socorro A. Ancheta-Goodacr, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-05.
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