Melissa Marie Banales in Pomona - Clinical
Melissa Marie Banales - NPI 1093974735
Melissa Marie Banales is a Clinical in Pomona, California. Melissa Marie Banales practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Marie Banales is 1093974735. The last update date is 2017-12-18.
Melissa Marie Banales's current location address is 1191 W Grand Ave, Pomona, California. You can contact this provider via phone number 9097625034. The mailing address for Melissa Marie Banales is 1191 W Grand Ave, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Marie Banales |
|---|---|
| Address | 1191 W Grand Ave, Pomona, California |
| Phone Number | 9097625034 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093974735 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2017-12-18 |
Provider Mailing Address Detail
| Address | 1191 W Grand Ave |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917662747 |
| Phone Number | 9097625034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34712 |
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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 Melissa Marie Banales by the Centers for Medicare & Medicaid Services?
The Melissa Marie Banales has been assigned the NPI (National Provider Identifier) 1093974735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Melissa Marie Banales?
The Melissa Marie Banales is physically situated at 1191 W Grand Ave, in the city of Pomona, state of CA, with the postal code 917662747.
What is Melissa Marie Banales's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melissa Marie Banales is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093974735 to Melissa Marie Banales?
The Centers for Medicare & Medicaid Services assigned the 1093974735 to Melissa Marie Banales on 2008-06-06.
As of what date were the details related to Melissa Marie Banales most recently updated or revised?
The information pertaining to Melissa Marie Banales, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-18.