Andrea L Graves is a Clinical in San Diego, California. Andrea L Graves practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea L Graves is 1780654327. The last update date is 2007-07-08.
Andrea L Graves's current location address is 2966 Mission Blvd, San Diego, California. You can contact this provider via phone number 6195325559. The mailing address for Andrea L Graves is 2966 Mission Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea L Graves |
|---|---|
| Address | 2966 Mission Blvd, San Diego, California |
| Phone Number | 6195325559 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780654327 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2966 Mission Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921098062 |
| Phone Number | 6195325559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 18560 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18560 | CA | LCSW |
Post Comment/ Review Below
What is the Andrea L Graves's unique identification number?
The Andrea L Graves has been assigned the NPI (National Provider Identifier) Number 1780654327 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Andrea L Graves's physical address?
The Andrea L Graves is physically located at 2966 Mission Blvd, in the city of San Diego, CA, with the postal code 921098062.
What is the Andrea L Graves's area of specialization and corresponding taxonomy classification?
The Andrea L Graves's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1780654327 assigned to Andrea L Graves?
The Andrea L Graves was issued its 1780654327 on 2006-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Andrea L Graves's information last updated?
The Andrea L Graves's information was last updated on 2007-07-08.