Dana L Terrell in San Diego - Clinical

Dana L Terrell - NPI 1629031125

Dana L Terrell is a Clinical in San Diego, California. Dana L Terrell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dana L Terrell is 1629031125. The last update date is 2007-07-08.

Dana L Terrell's current location address is 3537 Boundary St, San Diego, California. You can contact this provider via phone number 6192835665 and fax number 6192835665. The mailing address for Dana L Terrell is 3537 Boundary St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana L Terrell
Address 3537 Boundary St, San Diego, California
Phone Number 6192835665
Fax Number 6192835665
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1629031125
Provider Enumeration Date 2006-04-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3537 Boundary St
City San Diego
State California (CA)
Post Code 921044332
Phone Number 6192835665
Fax Number 6192835665

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS13773
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9683432 CA --

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FAQs about Dana L Terrell

What is the unique identification code assigned to Dana L Terrell by the Centers for Medicare & Medicaid Services?

The Dana L Terrell has been issued the NPI (National Provider Identifier) 1629031125. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Dana L Terrell is physically located?

The Dana L Terrell is situated at the following address: 3537 Boundary St, San Diego, CA 921044332.

What is the Dana L Terrell's specialty and taxonomy code?

The Dana L Terrell's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629031125 to Dana L Terrell?

The Centers for Medicare & Medicaid Services originally issued the 1629031125 to Dana L Terrell on 2006-04-07.

As of what date was the information regarding Dana L Terrell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dana L Terrell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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