Philie Katherine Chan in Fremont - Clinical
Philie Katherine Chan - NPI 1063623569
Philie Katherine Chan is a Clinical in Fremont, California. Philie Katherine Chan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philie Katherine Chan is 1063623569. The last update date is 2007-07-08.
Philie Katherine Chan's current location address is 39155 Liberty St Ste G710, Fremont, California. You can contact this provider via phone number 5107952434 and fax number 5107933972. The mailing address for Philie Katherine Chan is 39155 Liberty St Ste G710, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philie Katherine Chan |
|---|---|
| Address | 39155 Liberty St Ste G710, Fremont, California |
| Phone Number | 5107952434 |
| Fax Number | 5107933972 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063623569 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39155 Liberty St Ste G710 |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381525 |
| Phone Number | 5107952434 |
| Fax Number | 5107933972 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 19255 |
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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 unique identifier code issued to Philie Katherine Chan by the Centers for Medicare & Medicaid Services?
The Philie Katherine Chan has been assigned the NPI (National Provider Identifier) 1063623569. 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 share the complete physical address where Philie Katherine Chan is geographically located?
The Philie Katherine Chan is physically situated at the following location: 39155 Liberty St Ste G710, Fremont, CA, 945381525.
What is the Philie Katherine Chan's specialty and taxonomy code?
The Philie Katherine Chan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Philie Katherine Chan receive its 1063623569 assignment from the Centers for Medicare & Medicaid Services?
The Philie Katherine Chan was assigned its 1063623569 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Philie Katherine Chan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Philie Katherine Chan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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