Richard A Shoninger in Petaluma - Clinical
Richard A Shoninger - NPI 1629133160
Richard A Shoninger is a Clinical in Petaluma, California. Richard A Shoninger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard A Shoninger is 1629133160. The last update date is 2007-07-08.
Richard A Shoninger's current location address is 11 Freedom Ln S, Petaluma, California. You can contact this provider via phone number 7077668571. The mailing address for Richard A Shoninger is 11 Freedom Ln S, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard A Shoninger |
|---|---|
| Address | 11 Freedom Ln S, Petaluma, California |
| Phone Number | 7077668571 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629133160 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11 Freedom Ln S |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949522164 |
| Phone Number | 7077668571 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15306 |
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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 assigned to Richard A Shoninger by the Centers for Medicare & Medicaid Services?
The Richard A Shoninger has been issued the NPI (National Provider Identifier) 1629133160, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard A Shoninger's physical address?
The Richard A Shoninger is physically located at 11 Freedom Ln S, in the city of Petaluma, CA, with the postal code 949522164.
What is Richard A Shoninger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard A Shoninger's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629133160 to Richard A Shoninger?
The Centers for Medicare & Medicaid Services originally issued the 1629133160 to Richard A Shoninger on 2006-12-26.
As of what date were the details pertaining to Richard A Shoninger last refreshed?
The information related to the Richard A Shoninger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.