Alicia Avila Outcalt in San Diego - Clinical
Alicia Avila Outcalt - NPI 1417055682
Alicia Avila Outcalt is a Clinical in San Diego, California. Alicia Avila Outcalt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alicia Avila Outcalt is 1417055682. The last update date is 2007-07-08.
Alicia Avila Outcalt's current location address is 3990 Old Town Ave, San Diego, California. You can contact this provider via phone number 8583449440 and fax number 6192973716. The mailing address for Alicia Avila Outcalt is 3990 Old Town Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alicia Avila Outcalt |
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Address | 3990 Old Town Ave, San Diego, California |
Phone Number | 8583449440 |
Fax Number | 6192973716 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1417055682 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3990 Old Town Ave |
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City | San Diego |
State | California (CA) |
Post Code | 921102930 |
Phone Number | 8583449440 |
Fax Number | 6192973716 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS19899 |
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 Alicia Avila Outcalt's 1417055682?
The Alicia Avila Outcalt's NPI (National Provider Identifier) Number is 1417055682. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alicia Avila Outcalt's facilities are geographically located?
The facilities of Alicia Avila Outcalt are physically situated at the following location: 3990 Old Town Ave, San Diego, CA, 921102930.
What is the area of specialization for Alicia Avila Outcalt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alicia Avila Outcalt is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Alicia Avila Outcalt's 1417055682 issued?
The Alicia Avila Outcalt's 1417055682 was issued on 2006-09-20.
When was the information pertaining to Alicia Avila Outcalt most recently updated or revised?
The details related to Alicia Avila Outcalt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.