Stacey Suzanne Kopecki in San Bernardino - Clinical
Stacey Suzanne Kopecki - NPI 1750560769
Stacey Suzanne Kopecki is a Clinical in San Bernardino, California. Stacey Suzanne Kopecki practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Suzanne Kopecki is 1750560769. The last update date is 2010-10-25.
Stacey Suzanne Kopecki's current location address is 2080 S E St, San Bernardino, California. You can contact this provider via phone number 9093889191 and fax number 9093889195. The mailing address for Stacey Suzanne Kopecki is 2080 S E St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey Suzanne Kopecki |
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Address | 2080 S E St, San Bernardino, California |
Phone Number | 9093889191 |
Fax Number | 9093889195 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1750560769 |
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Provider Enumeration Date | 2007-10-25 |
Last Updated Date | 2010-10-25 |
Provider Mailing Address Detail
Address | 2080 S E St |
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City | San Bernardino |
State | California (CA) |
Post Code | 924082706 |
Phone Number | 9093889191 |
Fax Number | 9093889195 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | ASW 28043 |
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 identifier code issued to Stacey Suzanne Kopecki by the Centers for Medicare & Medicaid Services (CMS)?
The Stacey Suzanne Kopecki has been assigned the NPI (National Provider Identifier) 1750560769. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Stacey Suzanne Kopecki's facilities are situated?
The facilities of Stacey Suzanne Kopecki are physically located at the following address: 2080 S E St, San Bernardino, CA, 924082706.
What is the Stacey Suzanne Kopecki's specialty and taxonomy code?
The Stacey Suzanne Kopecki's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750560769 to Stacey Suzanne Kopecki?
The Centers for Medicare & Medicaid Services assigned the 1750560769 to Stacey Suzanne Kopecki on 2007-10-25.
When was the Stacey Suzanne Kopecki's information last updated?
The Stacey Suzanne Kopecki's information was last updated on 2010-10-25.