Mary Victoria Booth in Sacramento - Clinical

Mary Victoria Booth - NPI 1972778793

Mary Victoria Booth is a Clinical in Sacramento, California. Mary Victoria Booth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Victoria Booth is 1972778793. The last update date is 2010-10-05.

Mary Victoria Booth's current location address is 2015 21st St, Sacramento, California. You can contact this provider via phone number 9164510310. The mailing address for Mary Victoria Booth is 2015 21st St, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Victoria Booth
Address 2015 21st St, Sacramento, California
Phone Number 9164510310
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1972778793
Provider Enumeration Date 2008-04-23
Last Updated Date 2010-10-05

Provider Mailing Address Detail

Address 2015 21st St
City Sacramento
State California (CA)
Post Code 958181752
Phone Number 9164510310
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS6313
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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FAQs about Mary Victoria Booth

What is the unique identifier code issued to Mary Victoria Booth by the Centers for Medicare & Medicaid Services?

The Mary Victoria Booth has been assigned the NPI (National Provider Identifier) 1972778793. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mary Victoria Booth's facilities are geographically located?

The facilities of Mary Victoria Booth are physically situated at the following location: 2015 21St St, Sacramento, CA, 958181752.

What is Mary Victoria Booth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Victoria Booth is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Mary Victoria Booth receive its 1972778793 assignment from the Centers for Medicare & Medicaid Services?

The Mary Victoria Booth was assigned its 1972778793 by the Centers for Medicare & Medicaid Services on 2008-04-23.

As of what date was the information pertaining to Mary Victoria Booth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Victoria Booth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-05.

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