Martha Lidia Medina-Davidson in Santa Ana - Clinical
Martha Lidia Medina-Davidson - NPI 1275617615
Martha Lidia Medina-Davidson is a Clinical in Santa Ana, California. Martha Lidia Medina-Davidson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha Lidia Medina-Davidson is 1275617615. The last update date is 2007-07-23.
Martha Lidia Medina-Davidson's current location address is 1200 N Main St Ste 890, Santa Ana, California. You can contact this provider via phone number 9492064106. The mailing address for Martha Lidia Medina-Davidson is 1200 N Main St Ste 890, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Lidia Medina-Davidson |
|---|---|
| Address | 1200 N Main St Ste 890, Santa Ana, California |
| Phone Number | 9492064106 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275617615 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 1200 N Main St Ste 890 |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927013608 |
| Phone Number | 9492064106 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 18237 |
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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 Martha Lidia Medina-Davidson by the Centers for Medicare & Medicaid Services (CMS)?
The Martha Lidia Medina-Davidson has been assigned the NPI (National Provider Identifier) 1275617615. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Martha Lidia Medina-Davidson's facilities are geographically located?
The facilities of Martha Lidia Medina-Davidson are physically situated at the following location: 1200 N Main St Ste 890, Santa Ana, CA, 927013608.
What is Martha Lidia Medina-Davidson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martha Lidia Medina-Davidson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275617615 to Martha Lidia Medina-Davidson?
The Martha Lidia Medina-Davidson received its 1275617615 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the Martha Lidia Medina-Davidson's information last updated?
The Martha Lidia Medina-Davidson's information was last updated on 2007-07-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY