Lelah Joy Nichol is a Clinical in San Rafael, California. Lelah Joy Nichol practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lelah Joy Nichol is 1598829236. The last update date is 2007-07-08.
Lelah Joy Nichol's current location address is 820 Las Gallinas Ave, San Rafael, California. You can contact this provider via phone number 4154443082. The mailing address for Lelah Joy Nichol is 820 Las Gallinas Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lelah Joy Nichol |
|---|---|
| Address | 820 Las Gallinas Ave, San Rafael, California |
| Phone Number | 4154443082 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.C.S.W |
NPI Number Detail
| NPI Number | 1598829236 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 820 Las Gallinas Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949033452 |
| Phone Number | 4154443082 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 21664 |
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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 Lelah Joy Nichol by the Centers for Medicare & Medicaid Services (CMS)?
The Lelah Joy Nichol has been assigned the NPI (National Provider Identifier) 1598829236. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lelah Joy Nichol?
The Lelah Joy Nichol is situated at 820 Las Gallinas Ave, in the city of San Rafael, state of CA, with the zip code 949033452.
What is Lelah Joy Nichol's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lelah Joy Nichol is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598829236 to Lelah Joy Nichol?
The Centers for Medicare & Medicaid Services originally issued the 1598829236 to Lelah Joy Nichol on 2006-12-20.
As of what date were the Lelah Joy Nichol's details last updated?
The information pertaining to the Lelah Joy Nichol, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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