Kassandra Bennett Edwards in San Mateo - Clinical
Kassandra Bennett Edwards - NPI 1578630745
Kassandra Bennett Edwards is a Clinical in San Mateo, California. Kassandra Bennett Edwards practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kassandra Bennett Edwards is 1578630745. The last update date is 2020-11-06.
Kassandra Bennett Edwards's current location address is 511 Parrott Drive San Mateo, San Mateo, California. You can contact this provider via phone number 6503408866 and fax number 6507427135. The mailing address for Kassandra Bennett Edwards is 511 Parrott Drive San Mateo, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kassandra Bennett Edwards |
|---|---|
| Address | 511 Parrott Drive San Mateo, San Mateo, California |
| Phone Number | 6503408866 |
| Fax Number | 6507427135 |
| Sole Proprietor | Y |
| Credentials | LCSW, MFT |
NPI Number Detail
| NPI Number | 1578630745 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-11-06 |
Provider Mailing Address Detail
| Address | 511 Parrott Drive San Mateo |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944023048 |
| Phone Number | 6503408866 |
| Fax Number | 6507427135 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW13017 |
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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 Kassandra Bennett Edwards's unique identification number?
The Kassandra Bennett Edwards has been assigned the NPI (National Provider Identifier) Number 1578630745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kassandra Bennett Edwards located?
The Kassandra Bennett Edwards is located at 511 Parrott Drive San Mateo, San Mateo, CA 944023048.
What is Kassandra Bennett Edwards's area of expertise and its corresponding taxonomy classification?
The Kassandra Bennett Edwards's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1578630745 to Kassandra Bennett Edwards?
The Centers for Medicare & Medicaid Services assigned the 1578630745 to Kassandra Bennett Edwards on 2006-11-30.
When was the Kassandra Bennett Edwards's information last updated?
The Kassandra Bennett Edwards's information was last updated on 2020-11-06.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH