Juan M Ibarra is a Clinical in Oakland, California. Juan M Ibarra practices all healthcare services and medical treatments related to Clinical. The NPI Number for Juan M Ibarra is 1326174061. The last update date is 2007-07-08.
Juan M Ibarra's current location address is 3900 Broadway, Oakland, California. You can contact this provider via phone number 5107526718. The mailing address for Juan M Ibarra is 3900 Broadway, Oakland, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Juan M Ibarra |
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Address | 3900 Broadway, Oakland, California |
Phone Number | 5107526718 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1326174061 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3900 Broadway |
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City | Oakland |
State | California (CA) |
Post Code | 946115616 |
Phone Number | 5107526718 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 22098 |
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 Juan M Ibarra by the Centers for Medicare & Medicaid Services?
The Juan M Ibarra has been issued the NPI (National Provider Identifier) 1326174061 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Juan M Ibarra?
The Juan M Ibarra is situated at 3900 Broadway, in the city of Oakland, state of CA, with the zip code 946115616.
What is Juan M Ibarra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Juan M Ibarra is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Juan M Ibarra receive its 1326174061 assignment?
The Juan M Ibarra was assigned its 1326174061 on 2007-02-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Juan M Ibarra's details last updated?
The information pertaining to the Juan M Ibarra, including its address, specialty, and other details, was most recently updated on 2007-07-08.