Beverly Ann Koerner in Santa Cruz - Clinical
Beverly Ann Koerner - NPI 1376756916
Beverly Ann Koerner is a Clinical in Santa Cruz, California. Beverly Ann Koerner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beverly Ann Koerner is 1376756916. The last update date is 2013-08-30.
Beverly Ann Koerner's current location address is 1400 Emeline Avenue, Santa Cruz, California. You can contact this provider via phone number 8314544170. The mailing address for Beverly Ann Koerner is 1400 Emeline Avenue, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Ann Koerner |
|---|---|
| Address | 1400 Emeline Avenue, Santa Cruz, California |
| Phone Number | 8314544170 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCS |
NPI Number Detail
| NPI Number | 1376756916 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2013-08-30 |
Provider Mailing Address Detail
| Address | 1400 Emeline Avenue |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950601976 |
| Phone Number | 8314544170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS21464 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ92069Z | CA | MEDICARE GROUP ID# | |
| LCS 21464 | CA | CALIFORNIA |
Post Comment/ Review Below
What is the Beverly Ann Koerner's 1376756916?
The Beverly Ann Koerner's NPI (National Provider Identifier) Number is 1376756916. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Beverly Ann Koerner's facilities are geographically located?
The facilities of Beverly Ann Koerner are physically situated at the following location: 1400 Emeline Avenue, Santa Cruz, CA, 950601976.
What is the Beverly Ann Koerner's area of specialization and corresponding taxonomy classification?
The Beverly Ann Koerner's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Beverly Ann Koerner receive the assignment of its 1376756916 from the Centers for Medicare & Medicaid Services?
The Beverly Ann Koerner was issued its 1376756916 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date were the details pertaining to Beverly Ann Koerner last refreshed?
The information related to the Beverly Ann Koerner, including its address, specialty, and other relevant details, was last updated on 2013-08-30.