Peter Phoenix Chinnici in San Rafael - Clinical
Peter Phoenix Chinnici - NPI 1619024288
Peter Phoenix Chinnici is a Clinical in San Rafael, California. Peter Phoenix Chinnici practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter Phoenix Chinnici is 1619024288. The last update date is 2007-07-08.
Peter Phoenix Chinnici's current location address is 332 Bayview St, San Rafael, California. You can contact this provider via phone number 4154578340 and fax number 4154443019. The mailing address for Peter Phoenix Chinnici is 332 Bayview St, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Phoenix Chinnici |
|---|---|
| Address | 332 Bayview St, San Rafael, California |
| Phone Number | 4154578340 |
| Fax Number | 4154443019 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619024288 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 332 Bayview St |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949014934 |
| Phone Number | 4154578340 |
| Fax Number | 4154443019 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS14720 |
|
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 provider identifier assigned to Peter Phoenix Chinnici?
The Peter Phoenix Chinnici has been issued the NPI (National Provider Identifier) 1619024288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peter Phoenix Chinnici?
The Peter Phoenix Chinnici is physically situated at 332 Bayview St, in the city of San Rafael, state of CA, with the postal code 949014934.
What is Peter Phoenix Chinnici's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter Phoenix Chinnici 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 1619024288 to Peter Phoenix Chinnici?
The Centers for Medicare & Medicaid Services originally issued the 1619024288 to Peter Phoenix Chinnici on 2007-01-04.
When was the information regarding Peter Phoenix Chinnici most recently updated?
The details pertaining to the Peter Phoenix Chinnici, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.