Theresa G. Destito in Pasadena - Clinical
Theresa G. Destito - NPI 1467592550
Theresa G. Destito is a Clinical in Pasadena, California. Theresa G. Destito practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa G. Destito is 1467592550. The last update date is 2007-07-08.
Theresa G. Destito's current location address is 445 W Walnut St, Pasadena, California. You can contact this provider via phone number 6264414221 and fax number 6264413814. The mailing address for Theresa G. Destito is 445 W Walnut St, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theresa G. Destito |
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Address | 445 W Walnut St, Pasadena, California |
Phone Number | 6264414221 |
Fax Number | 6264413814 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1467592550 |
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Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 445 W Walnut St |
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City | Pasadena |
State | California (CA) |
Post Code | 911033563 |
Phone Number | 6264414221 |
Fax Number | 6264413814 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 13286 |
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 Theresa G. Destito by the Centers for Medicare & Medicaid Services?
The Theresa G. Destito has been issued the NPI (National Provider Identifier) 1467592550 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Theresa G. Destito located?
The Theresa G. Destito is located at 445 W Walnut St, Pasadena, CA 911033563.
What is Theresa G. Destito's area of expertise and its corresponding taxonomy classification?
The Theresa G. Destito's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Theresa G. Destito receive its 1467592550 assignment from the Centers for Medicare & Medicaid Services?
The Theresa G. Destito was assigned its 1467592550 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Theresa G. Destito, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theresa G. Destito, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC