Todd Gerard Fetherston in Sacramento - Clinical
Todd Gerard Fetherston - NPI 1164581989
Todd Gerard Fetherston is a Clinical in Sacramento, California. Todd Gerard Fetherston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Todd Gerard Fetherston is 1164581989. The last update date is 2007-07-08.
Todd Gerard Fetherston's current location address is 6600 Bruceville Rd, Sacramento, California. You can contact this provider via phone number 9166886951. The mailing address for Todd Gerard Fetherston is 6600 Bruceville Rd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Gerard Fetherston |
|---|---|
| Address | 6600 Bruceville Rd, Sacramento, California |
| Phone Number | 9166886951 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164581989 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6600 Bruceville Rd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958234671 |
| Phone Number | 9166886951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15495 |
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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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Post Comment/ Review Below
What is the Todd Gerard Fetherston's 1164581989?
The Todd Gerard Fetherston's NPI (National Provider Identifier) Number is 1164581989. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Todd Gerard Fetherston?
The Todd Gerard Fetherston is physically situated at 6600 Bruceville Rd, in the city of Sacramento, state of CA, with the postal code 958234671.
What is Todd Gerard Fetherston's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Todd Gerard Fetherston is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Todd Gerard Fetherston receive its 1164581989 assignment from the Centers for Medicare & Medicaid Services?
The Todd Gerard Fetherston was assigned its 1164581989 by the Centers for Medicare & Medicaid Services on 2006-12-07.
When was the Todd Gerard Fetherston's information last updated?
The Todd Gerard Fetherston's information was last updated on 2007-07-08.