Jessica Priante Matulich in San Diego - Clinical
Jessica Priante Matulich - NPI 1104028596
Jessica Priante Matulich is a Clinical in San Diego, California. Jessica Priante Matulich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Priante Matulich is 1104028596. The last update date is 2022-11-30.
Jessica Priante Matulich's current location address is 2865 Logan Ave, San Diego, California. You can contact this provider via phone number 6192324357. The mailing address for Jessica Priante Matulich is 2865 Logan Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Priante Matulich |
|---|---|
| Address | 2865 Logan Ave, San Diego, California |
| Phone Number | 6192324357 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104028596 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2022-11-30 |
Provider Mailing Address Detail
| Address | 2865 Logan Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921132411 |
| Phone Number | 6192324357 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW71666 |
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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 10-digit identification code assigned to Jessica Priante Matulich by the Centers for Medicare & Medicaid Services?
The Jessica Priante Matulich has been issued the NPI (National Provider Identifier) 1104028596, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jessica Priante Matulich's facilities are situated?
The facilities of Jessica Priante Matulich are physically located at the following address: 2865 Logan Ave, San Diego, CA, 921132411.
What is the Jessica Priante Matulich's specialty and taxonomy code?
The Jessica Priante Matulich's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1104028596 assigned to Jessica Priante Matulich?
The Jessica Priante Matulich was issued its 1104028596 on 2007-06-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jessica Priante Matulich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessica Priante Matulich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-30.
NPI Number: 1982608949
Address: 1320 Linglestown Road, Harrisburg, PA