Lisa Jeannette Mader in San Diego - Clinical
Lisa Jeannette Mader - NPI 1174790349
Lisa Jeannette Mader is a Clinical in San Diego, California. Lisa Jeannette Mader practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Jeannette Mader is 1174790349. The last update date is 2008-05-15.
Lisa Jeannette Mader's current location address is 9791 Mesa Springs Way, San Diego, California. You can contact this provider via phone number 6192099989. The mailing address for Lisa Jeannette Mader is 9791 Mesa Springs Way, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jeannette Mader |
|---|---|
| Address | 9791 Mesa Springs Way, San Diego, California |
| Phone Number | 6192099989 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174790349 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 9791 Mesa Springs Way |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921264150 |
| Phone Number | 6192099989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2487 |
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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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Post Comment/ Review Below
What is the Lisa Jeannette Mader's unique identification number?
The Lisa Jeannette Mader has been assigned the NPI (National Provider Identifier) Number 1174790349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lisa Jeannette Mader's facilities are situated?
The facilities of Lisa Jeannette Mader are physically located at the following address: 9791 Mesa Springs Way, San Diego, CA, 921264150.
What is Lisa Jeannette Mader's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Jeannette Mader's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174790349 to Lisa Jeannette Mader?
The Lisa Jeannette Mader received its 1174790349 assignment from the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date was the information regarding Lisa Jeannette Mader, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Jeannette Mader, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-15.
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