Edmund Shane Kasner in Riverside - Clinical

Edmund Shane Kasner - NPI 1144346818

Edmund Shane Kasner is a Clinical in Riverside, California. Edmund Shane Kasner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edmund Shane Kasner is 1144346818. The last update date is 2007-07-09.

Edmund Shane Kasner's current location address is 5015 Canyon Crest Drive, Riverside, California. You can contact this provider via phone number 9512760696 and fax number 9512760885. The mailing address for Edmund Shane Kasner is 5015 Canyon Crest Drive, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edmund Shane Kasner
Address 5015 Canyon Crest Drive, Riverside, California
Phone Number 9512760696
Fax Number 9512760885
Sole Proprietor N
Credentials LCSW, MSW,

NPI Number Detail

NPI Number 1144346818
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5015 Canyon Crest Drive
City Riverside
State California (CA)
Post Code 92507
Phone Number 9512760696
Fax Number 9512760885

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS6737
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
188407 CA --
33BFO9 CA --
33BFA9 CA --
LCS067370 CA BLUE SHIELD PIN

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FAQs about Edmund Shane Kasner

What is the unique 10-digit identifier code issued to Edmund Shane Kasner by the Centers for Medicare & Medicaid Services?

The Edmund Shane Kasner has been assigned the NPI (National Provider Identifier) 1144346818 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Edmund Shane Kasner is physically located?

The Edmund Shane Kasner is physically situated at the following address: 5015 Canyon Crest Drive, Riverside, CA, 92507.

What is the Edmund Shane Kasner's specialty and taxonomy code?

The Edmund Shane Kasner's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Edmund Shane Kasner receive its 1144346818 assignment from the Centers for Medicare & Medicaid Services?

The Edmund Shane Kasner was assigned its 1144346818 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Edmund Shane Kasner most recently updated or refreshed?

The details pertaining to the Edmund Shane Kasner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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