Shannon Ryan Legere in Long Beach - Clinical
Shannon Ryan Legere - NPI 1396861969
Shannon Ryan Legere is a Clinical in Long Beach, California. Shannon Ryan Legere practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Ryan Legere is 1396861969. The last update date is 2018-08-25.
Shannon Ryan Legere's current location address is 456 Elm Ave, Long Beach, California. You can contact this provider via phone number 5624376717 and fax number 5624375072. The mailing address for Shannon Ryan Legere is 456 Elm Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Ryan Legere |
|---|---|
| Address | 456 Elm Ave, Long Beach, California |
| Phone Number | 5624376717 |
| Fax Number | 5624375072 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396861969 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2018-08-25 |
Provider Mailing Address Detail
| Address | 456 Elm Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 90802 |
| Phone Number | 5624376717 |
| Fax Number | 5624375072 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22103 |
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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 Shannon Ryan Legere's unique identification number?
The Shannon Ryan Legere has been assigned the NPI (National Provider Identifier) Number 1396861969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shannon Ryan Legere is geographically located?
The Shannon Ryan Legere is physically situated at the following location: 456 Elm Ave, Long Beach, CA, 90802.
What is the area of specialization for Shannon Ryan Legere, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Ryan Legere is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Shannon Ryan Legere receive its 1396861969 assignment?
The Shannon Ryan Legere was assigned its 1396861969 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Shannon Ryan Legere most recently updated or revised?
The details related to Shannon Ryan Legere, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-25.
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