Maria Dolores Landa in Fayetteville - Clinical

Maria Dolores Landa - NPI 1861689739

Maria Dolores Landa is a Clinical in Fayetteville, North Carolina. Maria Dolores Landa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maria Dolores Landa is 1861689739. The last update date is 2008-05-06.

Maria Dolores Landa's current location address is 5340 Docia Cir, Fayetteville, North Carolina. You can contact this provider via phone number 9105744093. The mailing address for Maria Dolores Landa is 5340 Docia Cir, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Dolores Landa
Address 5340 Docia Cir, Fayetteville, North Carolina
Phone Number 9105744093
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1861689739
Provider Enumeration Date 2007-09-25
Last Updated Date 2008-05-06

Provider Mailing Address Detail

Address 5340 Docia Cir
City Fayetteville
State North Carolina (NC)
Post Code 283141405
Phone Number 9105744093
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C004503
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6106808 NC --

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FAQs about Maria Dolores Landa

What is the unique 10-digit identifier code assigned to Maria Dolores Landa by the Centers for Medicare & Medicaid Services?

The Maria Dolores Landa has been issued the NPI (National Provider Identifier) 1861689739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Maria Dolores Landa is physically located?

The Maria Dolores Landa is situated at the following address: 5340 Docia Cir, Fayetteville, NC 283141405.

What is Maria Dolores Landa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Maria Dolores Landa's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1861689739 to Maria Dolores Landa?

The Centers for Medicare & Medicaid Services assigned the 1861689739 to Maria Dolores Landa on 2007-09-25.

When was the information regarding Maria Dolores Landa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Maria Dolores Landa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-06.

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