Patricia Juan House in Indianapolis - Clinical
Patricia Juan House - NPI 1932219862
Patricia Juan House is a Clinical in Indianapolis, Indiana. Patricia Juan House practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Juan House is 1932219862. The last update date is 2007-07-08.
Patricia Juan House's current location address is Po Box 88824, Indianapolis, Indiana. You can contact this provider via phone number 3173721015 and fax number 3172537388. The mailing address for Patricia Juan House is Po Box 88824, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Juan House |
|---|---|
| Address | Po Box 88824, Indianapolis, Indiana |
| Phone Number | 3173721015 |
| Fax Number | 3172537388 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1932219862 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 88824 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462080824 |
| Phone Number | 3173721015 |
| Fax Number | 3172537388 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001701A |
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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 |
|---|---|---|---|
| 34001701A | IN | STATE LICENSE NO | |
| 221076 | IN | ANTHEM |
Post Comment/ Review Below
What is the Patricia Juan House's 1932219862?
The Patricia Juan House's NPI (National Provider Identifier) Number is 1932219862. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Patricia Juan House?
The Patricia Juan House is physically situated at Po Box 88824, in the city of Indianapolis, state of IN, with the postal code 462080824.
What is the Patricia Juan House's area of specialization and corresponding taxonomy classification?
The Patricia Juan House's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Patricia Juan House receive its 1932219862 assignment?
The Patricia Juan House was assigned its 1932219862 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Patricia Juan House most recently updated or revised?
The information pertaining to Patricia Juan House, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.