Fred Finch Youth Center in San Pablo - Clinical
Fred Finch Youth Center - NPI 1518188580
Fred Finch Youth Center is a Clinical in San Pablo, California. Fred Finch Youth Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Finch Youth Center is 1518188580. The last update date is 2020-10-15.
Fred Finch Youth Center's current location address is 2523 El Portal Dr Ste 201, San Pablo, California. You can contact this provider via phone number 5104393130 and fax number 5104393129. The mailing address for Fred Finch Youth Center is 2523 El Portal Dr Ste 201, San Pablo, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Fred Finch Youth Center |
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Address | 2523 El Portal Dr Ste 201, San Pablo, California |
Phone Number | 5104393130 |
Fax Number | 5104393129 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Alexander N Thomas |
Credentials | LCSW |
Telephone Number | 5104822244 |
NPI Number Detail
NPI Number | 1518188580 |
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Provider Enumeration Date | 2007-05-01 |
Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
Address | 2523 El Portal Dr Ste 201 |
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City | San Pablo |
State | California (CA) |
Post Code | 948063305 |
Phone Number | 5104393130 |
Fax Number | 5104393129 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 Fred Finch Youth Center by the Centers for Medicare & Medicaid Services?
The Fred Finch Youth Center has been assigned the NPI (National Provider Identifier) 1518188580. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fred Finch Youth Center is physically located?
The Fred Finch Youth Center is situated at the following address: 2523 El Portal Dr Ste 201, San Pablo, CA 948063305.
What is the area of specialization for Fred Finch Youth Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fred Finch Youth Center is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1518188580 assigned to Fred Finch Youth Center?
The Fred Finch Youth Center was issued its 1518188580 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Fred Finch Youth Center most recently updated or revised?
The information pertaining to Fred Finch Youth Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-15.