Jonathan Pannor is a Clinical in San Rafael, California. Jonathan Pannor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan Pannor is 1518023589. The last update date is 2007-07-08.
Jonathan Pannor's current location address is 820 Las Gallinas Ave, San Rafael, California. You can contact this provider via phone number 4154443012. The mailing address for Jonathan Pannor is 820 Las Gallinas Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Pannor |
|---|---|
| Address | 820 Las Gallinas Ave, San Rafael, California |
| Phone Number | 4154443012 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518023589 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 820 Las Gallinas Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949033410 |
| Phone Number | 4154443012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS14908 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jonathan Pannor by the Centers for Medicare & Medicaid Services?
The Jonathan Pannor has been issued the NPI (National Provider Identifier) 1518023589 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jonathan Pannor?
The Jonathan Pannor is situated at 820 Las Gallinas Ave, in the city of San Rafael, state of CA, with the zip code 949033410.
What is Jonathan Pannor's area of expertise and its corresponding taxonomy classification?
The Jonathan Pannor'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 Jonathan Pannor receive its 1518023589 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Pannor was assigned its 1518023589 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date was the information regarding Jonathan Pannor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Pannor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC