Jack De La Torre is a Clinical in Santa Cruz, California. Jack De La Torre practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack De La Torre is 1295939932. The last update date is 2007-07-08.
Jack De La Torre's current location address is 1400 Emeline Ave Bldg K, Santa Cruz, California. You can contact this provider via phone number 8314544900 and fax number 8314544916. The mailing address for Jack De La Torre is 1400 Emeline Ave Bldg K, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack De La Torre |
|---|---|
| Address | 1400 Emeline Ave Bldg K, Santa Cruz, California |
| Phone Number | 8314544900 |
| Fax Number | 8314544916 |
| Sole Proprietor | N |
| Credentials | ASW |
NPI Number Detail
| NPI Number | 1295939932 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Emeline Ave Bldg K |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950601976 |
| Phone Number | 8314544900 |
| Fax Number | 8314544916 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW14280 |
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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 |
|---|---|---|---|
| C0282648 | CA | DRIVER'S LICENSE |
Post Comment/ Review Below
What is the Jack De La Torre's unique identification number?
The Jack De La Torre has been assigned the NPI (National Provider Identifier) Number 1295939932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jack De La Torre?
The Jack De La Torre is situated at 1400 Emeline Ave Bldg K, in the city of Santa Cruz, state of CA, with the zip code 950601976.
What is Jack De La Torre's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack De La Torre is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295939932 to Jack De La Torre?
The Jack De La Torre received its 1295939932 assignment from the Centers for Medicare & Medicaid Services on 2007-06-14.
When was the information regarding Jack De La Torre most recently updated?
The details pertaining to the Jack De La Torre, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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