Yong S Pak is a Clinical in Las Vegas, Nevada. Yong S Pak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Yong S Pak is 1811109903. The last update date is 2016-09-01.
Yong S Pak's current location address is 4495 W Hacienda Ave Ste 3, Las Vegas, Nevada. You can contact this provider via phone number 7023855331 and fax number 7023855678. The mailing address for Yong S Pak is 4495 W Hacienda Ave Ste 3, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yong S Pak |
|---|---|
| Address | 4495 W Hacienda Ave Ste 3, Las Vegas, Nevada |
| Phone Number | 7023855331 |
| Fax Number | 7023855678 |
| Sole Proprietor | N |
| Credentials | MSW LSW |
NPI Number Detail
| NPI Number | 1811109903 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
| Address | 4495 W Hacienda Ave Ste 3 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891181541 |
| Phone Number | 7023855331 |
| Fax Number | 7023855678 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4432-S |
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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 10-digit identification code assigned to Yong S Pak by the Centers for Medicare & Medicaid Services?
The Yong S Pak has been issued the NPI (National Provider Identifier) 1811109903, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Yong S Pak's facilities are situated?
The facilities of Yong S Pak are physically located at the following address: 4495 W Hacienda Ave Ste 3, Las Vegas, NV, 891181541.
What is Yong S Pak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Yong S Pak's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1811109903 assigned to Yong S Pak?
The Yong S Pak was issued its 1811109903 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Yong S Pak most recently updated or revised?
The information pertaining to Yong S Pak, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-01.
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