Julia Gwendolyn Eddy in San Leandro - Clinical
Julia Gwendolyn Eddy - NPI 1386828085
Julia Gwendolyn Eddy is a Clinical in San Leandro, California. Julia Gwendolyn Eddy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julia Gwendolyn Eddy is 1386828085. The last update date is 2007-12-18.
Julia Gwendolyn Eddy's current location address is 2060 Fairmont Dr, San Leandro, California. You can contact this provider via phone number 9255516740. The mailing address for Julia Gwendolyn Eddy is 2060 Fairmont Dr, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Gwendolyn Eddy |
|---|---|
| Address | 2060 Fairmont Dr, San Leandro, California |
| Phone Number | 9255516740 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1386828085 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 2060 Fairmont Dr |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945781001 |
| Phone Number | 9255516740 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20925 |
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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 provider identifier assigned to Julia Gwendolyn Eddy?
The Julia Gwendolyn Eddy has been issued the NPI (National Provider Identifier) 1386828085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Julia Gwendolyn Eddy located?
The Julia Gwendolyn Eddy is located at 2060 Fairmont Dr, San Leandro, CA 945781001.
What is Julia Gwendolyn Eddy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Julia Gwendolyn Eddy is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Julia Gwendolyn Eddy's 1386828085 issued?
The Julia Gwendolyn Eddy's 1386828085 was issued on 2007-12-18.
As of what date were the details related to Julia Gwendolyn Eddy most recently updated or revised?
The information pertaining to Julia Gwendolyn Eddy, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC