Russell Benson Mccloud in Perris - Clinical
Russell Benson Mccloud - NPI 1245437417
Russell Benson Mccloud is a Clinical in Perris, California. Russell Benson Mccloud practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell Benson Mccloud is 1245437417. The last update date is 2011-02-24.
Russell Benson Mccloud's current location address is 20204 Lakeridge Dr, Perris, California. You can contact this provider via phone number 9517769184. The mailing address for Russell Benson Mccloud is 20204 Lakeridge Dr, Perris, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Benson Mccloud |
|---|---|
| Address | 20204 Lakeridge Dr, Perris, California |
| Phone Number | 9517769184 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1245437417 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2011-02-24 |
Provider Mailing Address Detail
| Address | 20204 Lakeridge Dr |
|---|---|
| City | Perris |
| State | California (CA) |
| Post Code | 925708421 |
| Phone Number | 9517769184 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 10485 |
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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 identifier code issued to Russell Benson Mccloud by the Centers for Medicare & Medicaid Services?
The Russell Benson Mccloud has been assigned the NPI (National Provider Identifier) 1245437417. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Russell Benson Mccloud's facilities are situated?
The facilities of Russell Benson Mccloud are physically located at the following address: 20204 Lakeridge Dr, Perris, CA, 925708421.
What is the Russell Benson Mccloud's specialty and taxonomy code?
The Russell Benson Mccloud's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Russell Benson Mccloud's 1245437417 issued?
The Russell Benson Mccloud's 1245437417 was issued on 2007-06-29.
When was the Russell Benson Mccloud's information last updated?
The Russell Benson Mccloud's information was last updated on 2011-02-24.