Kevin O'Connor is a Clinical in Santa Rosa, California. Kevin O'Connor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin O'Connor is 1659413219. The last update date is 2007-07-08.
Kevin O'Connor's current location address is Po Box 3488, Santa Rosa, California. You can contact this provider via phone number 7075220301. The mailing address for Kevin O'Connor is Po Box 3488, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin O'Connor |
|---|---|
| Address | Po Box 3488, Santa Rosa, California |
| Phone Number | 7075220301 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1659413219 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 3488 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954023488 |
| Phone Number | 7075220301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS22393 |
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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 identification code assigned to Kevin O'Connor by the Centers for Medicare & Medicaid Services?
The Kevin O'Connor has been issued the NPI (National Provider Identifier) 1659413219. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin O'Connor?
The Kevin O'Connor is situated at Po Box 3488, in the city of Santa Rosa, state of CA, with the zip code 954023488.
What is Kevin O'Connor's area of expertise and its corresponding taxonomy classification?
The Kevin O'Connor's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kevin O'Connor receive the assignment of its 1659413219 from the Centers for Medicare & Medicaid Services?
The Kevin O'Connor was issued its 1659413219 by the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date were the Kevin O'Connor's details last updated?
The information pertaining to the Kevin O'Connor, including its address, specialty, and other details, was most recently updated on 2007-07-08.