Randy Celina Mendoza in Fort Bragg - Clinical
Randy Celina Mendoza - NPI 1518013481
Randy Celina Mendoza is a Clinical in Fort Bragg, California. Randy Celina Mendoza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randy Celina Mendoza is 1518013481. The last update date is 2020-05-15.
Randy Celina Mendoza's current location address is 32670 Highway 20 Unit 2, Fort Bragg, California. You can contact this provider via phone number 7079641136. The mailing address for Randy Celina Mendoza is 32670 Highway 20 Unit 2, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Celina Mendoza |
|---|---|
| Address | 32670 Highway 20 Unit 2, Fort Bragg, California |
| Phone Number | 7079641136 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518013481 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-05-15 |
Provider Mailing Address Detail
| Address | 32670 Highway 20 Unit 2 |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375708 |
| Phone Number | 7079641136 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22968 |
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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 Randy Celina Mendoza's unique identification number?
The Randy Celina Mendoza has been assigned the NPI (National Provider Identifier) Number 1518013481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Randy Celina Mendoza's facilities are situated?
The facilities of Randy Celina Mendoza are physically located at the following address: 32670 Highway 20 Unit 2, Fort Bragg, CA, 954375708.
What is Randy Celina Mendoza's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randy Celina Mendoza is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1518013481 assigned to Randy Celina Mendoza?
The Randy Celina Mendoza was issued its 1518013481 on 2007-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Randy Celina Mendoza's information last updated?
The Randy Celina Mendoza's information was last updated on 2020-05-15.
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