Therese Connolly is a Clinical in San Bruno, California. Therese Connolly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Therese Connolly is 1235285107. The last update date is 2022-01-03.
Therese Connolly's current location address is 801 Traeger Ave, San Bruno, California. You can contact this provider via phone number 6507422503. The mailing address for Therese Connolly is 801 Traeger Ave, San Bruno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Therese Connolly |
|---|---|
| Address | 801 Traeger Ave, San Bruno, California |
| Phone Number | 6507422503 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235285107 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 801 Traeger Ave |
|---|---|
| City | San Bruno |
| State | California (CA) |
| Post Code | 940663048 |
| Phone Number | 6507422503 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS20482 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Therese Connolly by the Centers for Medicare & Medicaid Services?
The Therese Connolly has been issued the NPI (National Provider Identifier) 1235285107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Therese Connolly is located?
The Therese Connolly is situated at the following address: 801 Traeger Ave, San Bruno, CA, 940663048.
What is Therese Connolly'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 Therese Connolly is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Therese Connolly receive the assignment of its 1235285107 from the Centers for Medicare & Medicaid Services?
The Therese Connolly was issued its 1235285107 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Therese Connolly most recently updated?
The details pertaining to the Therese Connolly, including its address, specialty, and other relevant information, were last refreshed on 2022-01-03.