Stacey Goldwassser Sta in Sherman Oaks - Clinical
Stacey Goldwassser Sta - NPI 1720103062
Stacey Goldwassser Sta is a Clinical in Sherman Oaks, California. Stacey Goldwassser Sta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Goldwassser Sta is 1720103062. The last update date is 2013-06-14.
Stacey Goldwassser Sta's current location address is 4714 Noble Ave, Sherman Oaks, California. You can contact this provider via phone number 3107799016. The mailing address for Stacey Goldwassser Sta is 4714 Noble Ave, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Goldwassser Sta |
|---|---|
| Address | 4714 Noble Ave, Sherman Oaks, California |
| Phone Number | 3107799016 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720103062 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2013-06-14 |
Provider Mailing Address Detail
| Address | 4714 Noble Ave |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 914032012 |
| Phone Number | 3107799016 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS21192 |
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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 Stacey Goldwassser Sta's unique identification number?
The Stacey Goldwassser Sta has been assigned the NPI (National Provider Identifier) Number 1720103062 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 Stacey Goldwassser Sta?
The Stacey Goldwassser Sta is situated at 4714 Noble Ave, in the city of Sherman Oaks, state of CA, with the zip code 914032012.
What is the Stacey Goldwassser Sta's specialty and taxonomy code?
The Stacey Goldwassser Sta's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720103062 to Stacey Goldwassser Sta?
The Stacey Goldwassser Sta received its 1720103062 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the information related to Stacey Goldwassser Sta most recently updated or refreshed?
The details pertaining to the Stacey Goldwassser Sta, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-06-14.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC