Shelley Diane Black-Gonzalez in Sylmar - Clinical
Shelley Diane Black-Gonzalez - NPI 1891852471
Shelley Diane Black-Gonzalez is a Clinical in Sylmar, California. Shelley Diane Black-Gonzalez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelley Diane Black-Gonzalez is 1891852471. The last update date is 2012-06-29.
Shelley Diane Black-Gonzalez's current location address is 14659 Olive View Dr, Sylmar, California. You can contact this provider via phone number 8184850888. The mailing address for Shelley Diane Black-Gonzalez is 14659 Olive View Dr, Sylmar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Diane Black-Gonzalez |
|---|---|
| Address | 14659 Olive View Dr, Sylmar, California |
| Phone Number | 8184850888 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1891852471 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2012-06-29 |
Provider Mailing Address Detail
| Address | 14659 Olive View Dr |
|---|---|
| City | Sylmar |
| State | California (CA) |
| Post Code | 913421652 |
| Phone Number | 8184850888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 18327 |
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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 Shelley Diane Black-Gonzalez's unique identification number?
The Shelley Diane Black-Gonzalez has been assigned the NPI (National Provider Identifier) Number 1891852471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Shelley Diane Black-Gonzalez's physical address?
The Shelley Diane Black-Gonzalez is physically located at 14659 Olive View Dr, in the city of Sylmar, CA, with the postal code 913421652.
What is Shelley Diane Black-Gonzalez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelley Diane Black-Gonzalez's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891852471 to Shelley Diane Black-Gonzalez?
The Shelley Diane Black-Gonzalez received its 1891852471 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date were the details related to Shelley Diane Black-Gonzalez most recently updated or revised?
The information pertaining to Shelley Diane Black-Gonzalez, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-29.