S Keirre Da Luz is a Clinical in San Diego, California. S Keirre Da Luz practices all healthcare services and medical treatments related to Clinical. The NPI Number for S Keirre Da Luz is 1871769158. The last update date is 2021-04-28.
S Keirre Da Luz's current location address is 3350 La Jolla Village Dr, San Diego, California. You can contact this provider via phone number 8586421011 and fax number 8586421478. The mailing address for S Keirre Da Luz is 3350 La Jolla Village Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | S Keirre Da Luz |
|---|---|
| Address | 3350 La Jolla Village Dr, San Diego, California |
| Phone Number | 8586421011 |
| Fax Number | 8586421478 |
| Sole Proprietor | Y |
| Credentials | LCSW, BCD |
NPI Number Detail
| NPI Number | 1871769158 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 3350 La Jolla Village Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921610002 |
| Phone Number | 8586421011 |
| Fax Number | 8586421478 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 20349 |
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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 S Keirre Da Luz's unique identification number?
The S Keirre Da Luz has been assigned the NPI (National Provider Identifier) Number 1871769158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the S Keirre Da Luz's physical address?
The S Keirre Da Luz is physically located at 3350 La Jolla Village Dr, in the city of San Diego, CA, with the postal code 921610002.
What is S Keirre Da Luz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for S Keirre Da Luz is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871769158 to S Keirre Da Luz?
The Centers for Medicare & Medicaid Services assigned the 1871769158 to S Keirre Da Luz on 2008-05-06.
As of what date were the details related to S Keirre Da Luz most recently updated or revised?
The information pertaining to S Keirre Da Luz, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-28.
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