Theodorah Emillia Mckenna in Sylmar - Clinical
Theodorah Emillia Mckenna - NPI 1316099575
Theodorah Emillia Mckenna is a Clinical in Sylmar, California. Theodorah Emillia Mckenna practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodorah Emillia Mckenna is 1316099575. The last update date is 2007-07-08.
Theodorah Emillia Mckenna's current location address is 14307 Foothill Blvd Unit B8, Sylmar, California. You can contact this provider via phone number 8188330019. The mailing address for Theodorah Emillia Mckenna is 14307 Foothill Blvd Unit B8, Sylmar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodorah Emillia Mckenna |
|---|---|
| Address | 14307 Foothill Blvd Unit B8, Sylmar, California |
| Phone Number | 8188330019 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1316099575 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14307 Foothill Blvd Unit B8 |
|---|---|
| City | Sylmar |
| State | California (CA) |
| Post Code | 913427568 |
| Phone Number | 8188330019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 19083 |
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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 Theodorah Emillia Mckenna's unique identification number?
The Theodorah Emillia Mckenna has been assigned the NPI (National Provider Identifier) Number 1316099575 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 Theodorah Emillia Mckenna?
The Theodorah Emillia Mckenna is situated at 14307 Foothill Blvd Unit B8, in the city of Sylmar, state of CA, with the zip code 913427568.
What is the Theodorah Emillia Mckenna's specialty and taxonomy code?
The Theodorah Emillia Mckenna's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316099575 to Theodorah Emillia Mckenna?
The Centers for Medicare & Medicaid Services assigned the 1316099575 to Theodorah Emillia Mckenna on 2007-01-17.
When was the information related to Theodorah Emillia Mckenna most recently updated or refreshed?
The details pertaining to the Theodorah Emillia Mckenna, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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