Nan Radulovic is a Clinical in Santa Monica, California. Nan Radulovic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nan Radulovic is 1699969451. The last update date is 2007-09-04.
Nan Radulovic's current location address is 2128 Pico Blvd, Santa Monica, California. You can contact this provider via phone number 3108013438. The mailing address for Nan Radulovic is 2128 Pico Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nan Radulovic |
|---|---|
| Address | 2128 Pico Blvd, Santa Monica, California |
| Phone Number | 3108013438 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699969451 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 2128 Pico Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904051718 |
| Phone Number | 3108013438 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS18609 |
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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 10-digit identification code assigned to Nan Radulovic by the Centers for Medicare & Medicaid Services?
The Nan Radulovic has been issued the NPI (National Provider Identifier) 1699969451, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nan Radulovic is physically located?
The Nan Radulovic is physically situated at the following address: 2128 Pico Blvd, Santa Monica, CA, 904051718.
What is Nan Radulovic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nan Radulovic is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699969451 to Nan Radulovic?
The Nan Radulovic received its 1699969451 assignment from the Centers for Medicare & Medicaid Services on 2007-09-04.
When was the information regarding Nan Radulovic most recently updated?
The details pertaining to the Nan Radulovic, including its address, specialty, and other relevant information, were last refreshed on 2007-09-04.