Stacey A Goodman Eaton in San Diego - Clinical
Stacey A Goodman Eaton - NPI 1518908680
Stacey A Goodman Eaton is a Clinical in San Diego, California. Stacey A Goodman Eaton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey A Goodman Eaton is 1518908680. The last update date is 2016-02-16.
Stacey A Goodman Eaton's current location address is 12520 High Bluff Dr, San Diego, California. You can contact this provider via phone number 6195284600 and fax number 6195284625. The mailing address for Stacey A Goodman Eaton is 12520 High Bluff Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Goodman Eaton |
|---|---|
| Address | 12520 High Bluff Dr, San Diego, California |
| Phone Number | 6195284600 |
| Fax Number | 6195284625 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518908680 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2016-02-16 |
Provider Mailing Address Detail
| Address | 12520 High Bluff Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921303066 |
| Phone Number | 6195284600 |
| Fax Number | 6195284625 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS18913 |
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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 unique 10-digit identifier code issued to Stacey A Goodman Eaton by the Centers for Medicare & Medicaid Services?
The Stacey A Goodman Eaton has been assigned the NPI (National Provider Identifier) 1518908680 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacey A Goodman Eaton's facilities are situated?
The facilities of Stacey A Goodman Eaton are physically located at the following address: 12520 High Bluff Dr, San Diego, CA, 921303066.
What is Stacey A Goodman Eaton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacey A Goodman Eaton is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518908680 to Stacey A Goodman Eaton?
The Centers for Medicare & Medicaid Services assigned the 1518908680 to Stacey A Goodman Eaton on 2006-06-09.
As of what date was the information regarding Stacey A Goodman Eaton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacey A Goodman Eaton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-16.