Stacy Annette Ivery in Riverside - Clinical
Stacy Annette Ivery - NPI 1871703900
Stacy Annette Ivery is a Clinical in Riverside, California. Stacy Annette Ivery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Annette Ivery is 1871703900. The last update date is 2007-07-08.
Stacy Annette Ivery's current location address is 1200 Blazewood St, Riverside, California. You can contact this provider via phone number 9513771087 and fax number 9516833323. The mailing address for Stacy Annette Ivery is 1200 Blazewood St, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Annette Ivery |
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Address | 1200 Blazewood St, Riverside, California |
Phone Number | 9513771087 |
Fax Number | 9516833323 |
Sole Proprietor | Y |
Credentials | L.C.S.W. |
NPI Number Detail
NPI Number | 1871703900 |
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Provider Enumeration Date | 2007-05-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1200 Blazewood St |
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City | Riverside |
State | California (CA) |
Post Code | 925075909 |
Phone Number | 9513771087 |
Fax Number | 9516833323 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 17495 |
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 Stacy Annette Ivery's 1871703900?
The Stacy Annette Ivery's NPI (National Provider Identifier) Number is 1871703900. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stacy Annette Ivery is located?
The Stacy Annette Ivery is situated at the following address: 1200 Blazewood St, Riverside, CA, 925075909.
What is Stacy Annette Ivery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Annette Ivery's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Stacy Annette Ivery receive its 1871703900 assignment?
The Stacy Annette Ivery was assigned its 1871703900 on 2007-05-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Stacy Annette Ivery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy Annette Ivery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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