Michael Mabanglo in Ukiah - Clinical

Michael Mabanglo - NPI 1558431528

Michael Mabanglo is a Clinical in Ukiah, California. Michael Mabanglo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Mabanglo is 1558431528. The last update date is 2007-07-08.

Michael Mabanglo's current location address is 333 Laws Ave, Ukiah, California. You can contact this provider via phone number 7074681010 and fax number 7074680174. The mailing address for Michael Mabanglo is 333 Laws Ave, Ukiah, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Mabanglo
Address 333 Laws Ave, Ukiah, California
Phone Number 7074681010
Fax Number 7074680174
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1558431528
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 333 Laws Ave
City Ukiah
State California (CA)
Post Code 954826540
Phone Number 7074681010
Fax Number 7074680174

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS18876
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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FAQs about Michael Mabanglo

What is the unique identifier code issued to Michael Mabanglo by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Mabanglo has been assigned the NPI (National Provider Identifier) 1558431528. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Michael Mabanglo's physical address?

The Michael Mabanglo is physically located at 333 Laws Ave, in the city of Ukiah, CA, with the postal code 954826540.

What is the Michael Mabanglo's specialty and taxonomy code?

The Michael Mabanglo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558431528 to Michael Mabanglo?

The Centers for Medicare & Medicaid Services assigned the 1558431528 to Michael Mabanglo on 2006-11-08.

When was the information regarding Michael Mabanglo most recently updated?

The details pertaining to the Michael Mabanglo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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