Sonja Kim Suderman in Stockton - Clinical
Sonja Kim Suderman - NPI 1639297070
Sonja Kim Suderman is a Clinical in Stockton, California. Sonja Kim Suderman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sonja Kim Suderman is 1639297070. The last update date is 2007-07-08.
Sonja Kim Suderman's current location address is 1414 N California St, Stockton, California. You can contact this provider via phone number 2094682385 and fax number 2094688024. The mailing address for Sonja Kim Suderman is 1414 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sonja Kim Suderman |
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Address | 1414 N California St, Stockton, California |
Phone Number | 2094682385 |
Fax Number | 2094688024 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1639297070 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1414 N California St |
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City | Stockton |
State | California (CA) |
Post Code | 952021515 |
Phone Number | 2094682385 |
Fax Number | 2094688024 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 13767 |
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 Sonja Kim Suderman's unique identification number?
The Sonja Kim Suderman has been assigned the NPI (National Provider Identifier) Number 1639297070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sonja Kim Suderman's facilities are geographically located?
The facilities of Sonja Kim Suderman are physically situated at the following location: 1414 N California St, Stockton, CA, 952021515.
What is Sonja Kim Suderman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sonja Kim Suderman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639297070 to Sonja Kim Suderman?
The Centers for Medicare & Medicaid Services originally issued the 1639297070 to Sonja Kim Suderman on 2007-03-26.
As of what date was the information regarding Sonja Kim Suderman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sonja Kim Suderman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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