Darius L Davenport is a Clinical in Vallejo, California. Darius L Davenport practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darius L Davenport is 1265594337. The last update date is 2007-07-08.
Darius L Davenport's current location address is 800 Sereno Drive, Vallejo, California. You can contact this provider via phone number 7076512632. The mailing address for Darius L Davenport is 800 Sereno Drive, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darius L Davenport |
|---|---|
| Address | 800 Sereno Drive, Vallejo, California |
| Phone Number | 7076512632 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265594337 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 800 Sereno Drive |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 94589 |
| Phone Number | 7076512632 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS17780 |
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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 identifier code issued to Darius L Davenport by the Centers for Medicare & Medicaid Services?
The Darius L Davenport has been assigned the NPI (National Provider Identifier) 1265594337. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Darius L Davenport?
The Darius L Davenport is situated at 800 Sereno Drive, in the city of Vallejo, state of CA, with the zip code 94589.
What is Darius L Davenport's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Darius L Davenport is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Darius L Davenport receive the assignment of its 1265594337 from the Centers for Medicare & Medicaid Services?
The Darius L Davenport was issued its 1265594337 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the Darius L Davenport's information last updated?
The Darius L Davenport's information was last updated on 2007-07-08.
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