Catherine Dickerson in San Diego - Clinical
Catherine Dickerson - NPI 1770656522
Catherine Dickerson is a Clinical in San Diego, California. Catherine Dickerson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine Dickerson is 1770656522. The last update date is 2011-03-24.
Catherine Dickerson's current location address is 3665 Kearny Villa Rd, San Diego, California. You can contact this provider via phone number 8589665832 and fax number 8589666733. The mailing address for Catherine Dickerson is 3665 Kearny Villa Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine Dickerson |
|---|---|
| Address | 3665 Kearny Villa Rd, San Diego, California |
| Phone Number | 8589665832 |
| Fax Number | 8589666733 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1770656522 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2011-03-24 |
Provider Mailing Address Detail
| Address | 3665 Kearny Villa Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231953 |
| Phone Number | 8589665832 |
| Fax Number | 8589666733 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 24454 |
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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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What is the unique identifier code issued to Catherine Dickerson by the Centers for Medicare & Medicaid Services?
The Catherine Dickerson has been assigned the NPI (National Provider Identifier) 1770656522. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Catherine Dickerson's physical address?
The Catherine Dickerson is physically located at 3665 Kearny Villa Rd, in the city of San Diego, CA, with the postal code 921231953.
What is the Catherine Dickerson's area of specialization and corresponding taxonomy classification?
The Catherine Dickerson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1770656522 to Catherine Dickerson?
The Centers for Medicare & Medicaid Services assigned the 1770656522 to Catherine Dickerson on 2006-11-17.
When was the information pertaining to Catherine Dickerson most recently updated or revised?
The details related to Catherine Dickerson, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-24.
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