Patricia Ann Penn is a Clinical in San Jose,, California. Patricia Ann Penn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Ann Penn is 1740331644. The last update date is 2007-07-08.
Patricia Ann Penn's current location address is 3880 S. Bascom Ave.,, San Jose,, California. You can contact this provider via phone number 4083771200 and fax number 4083777833. The mailing address for Patricia Ann Penn is 3880 S. Bascom Ave.,, San Jose,, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Ann Penn |
|---|---|
| Address | 3880 S. Bascom Ave.,, San Jose,, California |
| Phone Number | 4083771200 |
| Fax Number | 4083777833 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1740331644 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3880 S. Bascom Ave., |
|---|---|
| City | San Jose, |
| State | California (CA) |
| Post Code | 951242675 |
| Phone Number | 4083771200 |
| Fax Number | 4083777833 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS11694 |
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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 identifier code issued to Patricia Ann Penn by the Centers for Medicare & Medicaid Services?
The Patricia Ann Penn has been assigned the NPI (National Provider Identifier) 1740331644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Patricia Ann Penn is physically located?
The Patricia Ann Penn is physically situated at the following address: 3880 S. Bascom Ave.,, San Jose,, CA, 951242675.
What is Patricia Ann Penn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia Ann Penn is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Patricia Ann Penn receive its 1740331644?
The Patricia Ann Penn was issued its 1740331644 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Patricia Ann Penn most recently updated or revised?
The information pertaining to Patricia Ann Penn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.