Poling Chan is a Clinical in Fort Collins, Colorado. Poling Chan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Poling Chan is 1245389618. The last update date is 2007-07-08.
Poling Chan's current location address is 504 S College Ave, Fort Collins, Colorado. You can contact this provider via phone number 9704817397 and fax number 9702266103. The mailing address for Poling Chan is 504 S College Ave, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Poling Chan |
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Address | 504 S College Ave, Fort Collins, Colorado |
Phone Number | 9704817397 |
Fax Number | 9702266103 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1245389618 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 504 S College Ave |
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City | Fort Collins |
State | Colorado (CO) |
Post Code | 805243002 |
Phone Number | 9704817397 |
Fax Number | 9702266103 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 992606 |
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 10-digit identification code assigned to Poling Chan by the Centers for Medicare & Medicaid Services?
The Poling Chan has been issued the NPI (National Provider Identifier) 1245389618, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Poling Chan?
The Poling Chan is physically situated at 504 S College Ave, in the city of Fort Collins, state of CO, with the postal code 805243002.
What is Poling Chan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Poling Chan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Poling Chan receive its 1245389618 assignment?
The Poling Chan was assigned its 1245389618 on 2007-01-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Poling Chan's details last updated?
The information pertaining to the Poling Chan, including its address, specialty, and other details, was most recently updated on 2007-07-08.