Sheyla Modesta Perez in Oakland - Clinical

Sheyla Modesta Perez - NPI 1992907224

Sheyla Modesta Perez is a Clinical in Oakland, California. Sheyla Modesta Perez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sheyla Modesta Perez is 1992907224. The last update date is 2010-08-30.

Sheyla Modesta Perez's current location address is 1501 Fruitvale Ave, Oakland, California. You can contact this provider via phone number 5105356200. The mailing address for Sheyla Modesta Perez is 1501 Fruitvale Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sheyla Modesta Perez
Address 1501 Fruitvale Ave, Oakland, California
Phone Number 5105356200
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1992907224
Provider Enumeration Date 2007-05-31
Last Updated Date 2010-08-30

Provider Mailing Address Detail

Address 1501 Fruitvale Ave
City Oakland
State California (CA)
Post Code 946012322
Phone Number 5105356200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No ASW 14938
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
05-1063 FQHC MEDICARE PART A
ZZZ29799Z FQHC MEDICARE PART B

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FAQs about Sheyla Modesta Perez

What is the unique identifier code issued to Sheyla Modesta Perez by the Centers for Medicare & Medicaid Services (CMS)?

The Sheyla Modesta Perez has been assigned the NPI (National Provider Identifier) 1992907224. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Sheyla Modesta Perez is located?

The Sheyla Modesta Perez is situated at the following address: 1501 Fruitvale Ave, Oakland, CA, 946012322.

What is Sheyla Modesta Perez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sheyla Modesta Perez is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

When did the Sheyla Modesta Perez receive its 1992907224?

The Sheyla Modesta Perez was issued its 1992907224 on 2007-05-31, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Sheyla Modesta Perez most recently updated or revised?

The information pertaining to Sheyla Modesta Perez, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-30.

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