Anthony Medaro is a Clinical in San Jose, California. Anthony Medaro practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anthony Medaro is 1033254412. The last update date is 2007-07-08.
Anthony Medaro's current location address is 3880 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4083777099 and fax number 4083777833. The mailing address for Anthony Medaro is 3880 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Medaro |
|---|---|
| Address | 3880 S Bascom Ave, San Jose, California |
| Phone Number | 4083777099 |
| Fax Number | 4083777833 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033254412 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3880 S Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951242674 |
| Phone Number | 4083777099 |
| Fax Number | 4083777833 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS11369 |
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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 provider identifier assigned to Anthony Medaro?
The Anthony Medaro has been issued the NPI (National Provider Identifier) 1033254412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Anthony Medaro is located?
The Anthony Medaro is situated at the following address: 3880 S Bascom Ave, San Jose, CA, 951242674.
What is the Anthony Medaro's area of specialization and corresponding taxonomy classification?
The Anthony Medaro's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1033254412 assigned to Anthony Medaro?
The Anthony Medaro was issued its 1033254412 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Anthony Medaro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Anthony Medaro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1023014131
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