Traci Rochelle Printup-Khan in Thousand Oaks - Clinical
Traci Rochelle Printup-Khan - NPI 1750406500
Traci Rochelle Printup-Khan is a Clinical in Thousand Oaks, California. Traci Rochelle Printup-Khan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traci Rochelle Printup-Khan is 1750406500. The last update date is 2021-06-11.
Traci Rochelle Printup-Khan's current location address is 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, California. You can contact this provider via phone number 8057773516. The mailing address for Traci Rochelle Printup-Khan is 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Rochelle Printup-Khan |
|---|---|
| Address | 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, California |
| Phone Number | 8057773516 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1750406500 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2021-06-11 |
Provider Mailing Address Detail
| Address | 125 W Thousand Oaks Blvd Ste 500 |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913604462 |
| Phone Number | 8057773516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS16706 |
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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 unique provider identifier assigned to Traci Rochelle Printup-Khan?
The Traci Rochelle Printup-Khan has been issued the NPI (National Provider Identifier) 1750406500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Traci Rochelle Printup-Khan's physical address?
The Traci Rochelle Printup-Khan is physically located at 125 W Thousand Oaks Blvd Ste 500, in the city of Thousand Oaks, CA, with the postal code 913604462.
What is Traci Rochelle Printup-Khan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Traci Rochelle Printup-Khan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Traci Rochelle Printup-Khan receive its 1750406500 assignment?
The Traci Rochelle Printup-Khan was assigned its 1750406500 on 2007-03-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Traci Rochelle Printup-Khan most recently updated or refreshed?
The details pertaining to the Traci Rochelle Printup-Khan, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-11.