Kenneth James Sadauski in San Diego - Clinical
Kenneth James Sadauski - NPI 1730106634
Kenneth James Sadauski is a Clinical in San Diego, California. Kenneth James Sadauski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth James Sadauski is 1730106634. The last update date is 2007-07-10.
Kenneth James Sadauski's current location address is 3350 La Jolla Village Dr, San Diego, California. You can contact this provider via phone number 8586423660 and fax number 8585527455. The mailing address for Kenneth James Sadauski is 3350 La Jolla Village Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth James Sadauski |
|---|---|
| Address | 3350 La Jolla Village Dr, San Diego, California |
| Phone Number | 8586423660 |
| Fax Number | 8585527455 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1730106634 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 3350 La Jolla Village Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921610001 |
| Phone Number | 8586423660 |
| Fax Number | 8585527455 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 4555 |
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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 Kenneth James Sadauski's 1730106634?
The Kenneth James Sadauski's NPI (National Provider Identifier) Number is 1730106634. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth James Sadauski's facilities are geographically located?
The facilities of Kenneth James Sadauski are physically situated at the following location: 3350 La Jolla Village Dr, San Diego, CA, 921610001.
What is the Kenneth James Sadauski's specialty and taxonomy code?
The Kenneth James Sadauski's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730106634 to Kenneth James Sadauski?
The Kenneth James Sadauski received its 1730106634 assignment from the Centers for Medicare & Medicaid Services on 2006-07-16.
When was the Kenneth James Sadauski's information last updated?
The Kenneth James Sadauski's information was last updated on 2007-07-10.
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