Monica M Antillon is a Clinical in Pasadena, California. Monica M Antillon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Monica M Antillon is 1891993622. The last update date is 2021-12-01.
Monica M Antillon's current location address is 393 E Walnut St, Pasadena, California. You can contact this provider via phone number 6264057914 and fax number 6264056768. The mailing address for Monica M Antillon is 393 E Walnut St, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica M Antillon |
|---|---|
| Address | 393 E Walnut St, Pasadena, California |
| Phone Number | 6264057914 |
| Fax Number | 6264056768 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1891993622 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 393 E Walnut St |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911880001 |
| Phone Number | 6264057914 |
| Fax Number | 6264056768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS17634 |
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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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What is the unique 10-digit identification code issued to Monica M Antillon by the Centers for Medicare & Medicaid Services?
The Monica M Antillon has been assigned the NPI (National Provider Identifier) 1891993622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Monica M Antillon's facilities are geographically located?
The facilities of Monica M Antillon are physically situated at the following location: 393 E Walnut St, Pasadena, CA, 911880001.
What is Monica M Antillon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Monica M Antillon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Monica M Antillon receive its 1891993622 assignment?
The Monica M Antillon was assigned its 1891993622 on 2007-07-03, which is the date when this unique identifier was issued to the organization.
As of what date were the Monica M Antillon's details last updated?
The information pertaining to the Monica M Antillon, including its address, specialty, and other details, was most recently updated on 2021-12-01.
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