Brenda Delacruz is a Clinical in San Fernando, California. Brenda Delacruz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Delacruz is 1174707335. The last update date is 2019-01-08.
Brenda Delacruz's current location address is 11565 Laurel Canyon Blvd Ste 116, San Fernando, California. You can contact this provider via phone number 8183615030. The mailing address for Brenda Delacruz is 11565 Laurel Canyon Blvd Ste 116, San Fernando, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Delacruz |
|---|---|
| Address | 11565 Laurel Canyon Blvd Ste 116, San Fernando, California |
| Phone Number | 8183615030 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174707335 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2019-01-08 |
Provider Mailing Address Detail
| Address | 11565 Laurel Canyon Blvd Ste 116 |
|---|---|
| City | San Fernando |
| State | California (CA) |
| Post Code | 913404650 |
| Phone Number | 8183615030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW73079 |
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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 |
|---|---|---|---|
| 7068 | CA | -- | |
| 6758 | CA | -- | |
| 7420 | CA | -- |
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What is the unique 10-digit identification code issued to Brenda Delacruz by the Centers for Medicare & Medicaid Services?
The Brenda Delacruz has been assigned the NPI (National Provider Identifier) 1174707335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brenda Delacruz's physical address?
The Brenda Delacruz is physically located at 11565 Laurel Canyon Blvd Ste 116, in the city of San Fernando, CA, with the postal code 913404650.
What is Brenda Delacruz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brenda Delacruz is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174707335 to Brenda Delacruz?
The Brenda Delacruz received its 1174707335 assignment from the Centers for Medicare & Medicaid Services on 2007-12-24.
As of what date were the Brenda Delacruz's details last updated?
The information pertaining to the Brenda Delacruz, including its address, specialty, and other details, was most recently updated on 2019-01-08.