Mara Joanna Wolfsen in Redondo Beach - Clinical
Mara Joanna Wolfsen - NPI 1063675668
Mara Joanna Wolfsen is a Clinical in Redondo Beach, California. Mara Joanna Wolfsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mara Joanna Wolfsen is 1063675668. The last update date is 2008-07-03.
Mara Joanna Wolfsen's current location address is 409 N Pacific Coast Hwy, Redondo Beach, California. You can contact this provider via phone number 3104838300. The mailing address for Mara Joanna Wolfsen is 409 N Pacific Coast Hwy, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara Joanna Wolfsen |
|---|---|
| Address | 409 N Pacific Coast Hwy, Redondo Beach, California |
| Phone Number | 3104838300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063675668 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 409 N Pacific Coast Hwy |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902772870 |
| Phone Number | 3104838300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS21046 |
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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 identifier code assigned to Mara Joanna Wolfsen by the Centers for Medicare & Medicaid Services?
The Mara Joanna Wolfsen has been issued the NPI (National Provider Identifier) 1063675668 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mara Joanna Wolfsen is located?
The Mara Joanna Wolfsen is situated at the following address: 409 N Pacific Coast Hwy, Redondo Beach, CA, 902772870.
What is the Mara Joanna Wolfsen's specialty and taxonomy code?
The Mara Joanna Wolfsen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Mara Joanna Wolfsen's 1063675668 issued?
The Mara Joanna Wolfsen's 1063675668 was issued on 2008-07-03.
When was the information pertaining to Mara Joanna Wolfsen most recently updated or revised?
The details related to Mara Joanna Wolfsen, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-03.