Amon Olu Porter in Oakland - Clinical

Amon Olu Porter - NPI 1245415215

Amon Olu Porter is a Clinical in Oakland, California. Amon Olu Porter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amon Olu Porter is 1245415215. The last update date is 2017-01-27.

Amon Olu Porter's current location address is Po Box 14306, Oakland, California. You can contact this provider via phone number 5109323678 and fax number 5103976292. The mailing address for Amon Olu Porter is Po Box 14306, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Amon Olu Porter
Address Po Box 14306, Oakland, California
Phone Number 5109323678
Fax Number 5103976292
Sole Proprietor Y
Credentials PH.D., LCS

NPI Number Detail

NPI Number 1245415215
Provider Enumeration Date 2008-01-08
Last Updated Date 2017-01-27

Provider Mailing Address Detail

Address Po Box 14306
City Oakland
State California (CA)
Post Code 946142306
Phone Number 5109323678
Fax Number 5103976292

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCSW22480
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 Amon Olu Porter

What is the unique 10-digit identification code issued to Amon Olu Porter by the Centers for Medicare & Medicaid Services?

The Amon Olu Porter has been assigned the NPI (National Provider Identifier) 1245415215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Amon Olu Porter is geographically located?

The Amon Olu Porter is physically situated at the following location: Po Box 14306, Oakland, CA, 946142306.

What is Amon Olu Porter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Amon Olu Porter is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245415215 to Amon Olu Porter?

The Centers for Medicare & Medicaid Services originally issued the 1245415215 to Amon Olu Porter on 2008-01-08.

When was the information regarding Amon Olu Porter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Amon Olu Porter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-27.

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