Grady Deshawn Dodson in Visalia - Clinical
Grady Deshawn Dodson - NPI 1962682088
Grady Deshawn Dodson is a Clinical in Visalia, California. Grady Deshawn Dodson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Grady Deshawn Dodson is 1962682088. The last update date is 2011-06-24.
Grady Deshawn Dodson's current location address is 5429 W Cypress Ave, Visalia, California. You can contact this provider via phone number 5597389729 and fax number 8665708907. The mailing address for Grady Deshawn Dodson is 5429 W Cypress Ave, Visalia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Deshawn Dodson |
|---|---|
| Address | 5429 W Cypress Ave, Visalia, California |
| Phone Number | 5597389729 |
| Fax Number | 8665708907 |
| Sole Proprietor | Y |
| Credentials | ASW |
NPI Number Detail
| NPI Number | 1962682088 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2011-06-24 |
Provider Mailing Address Detail
| Address | 5429 W Cypress Ave |
|---|---|
| City | Visalia |
| State | California (CA) |
| Post Code | 932778341 |
| Phone Number | 5597389729 |
| Fax Number | 8665708907 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW 20263 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ASW 20263 | CA | BBS LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Grady Deshawn Dodson by the Centers for Medicare & Medicaid Services (CMS)?
The Grady Deshawn Dodson has been assigned the NPI (National Provider Identifier) 1962682088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Grady Deshawn Dodson is physically located?
The Grady Deshawn Dodson is physically situated at the following address: 5429 W Cypress Ave, Visalia, CA, 932778341.
What is Grady Deshawn Dodson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grady Deshawn Dodson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Grady Deshawn Dodson receive its 1962682088 assignment from the Centers for Medicare & Medicaid Services?
The Grady Deshawn Dodson was assigned its 1962682088 by the Centers for Medicare & Medicaid Services on 2007-11-06.
When was the information regarding Grady Deshawn Dodson most recently updated?
The details pertaining to the Grady Deshawn Dodson, including its address, specialty, and other relevant information, were last refreshed on 2011-06-24.
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