Carol A Zancanella is a Clinical in Bend, Oregon. Carol A Zancanella practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol A Zancanella is 1164538336. The last update date is 2012-12-31.
Carol A Zancanella's current location address is 965 Sw Emkay Dr, Bend, Oregon. You can contact this provider via phone number 5414104374 and fax number 5416785972. The mailing address for Carol A Zancanella is 965 Sw Emkay Dr, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol A Zancanella |
|---|---|
| Address | 965 Sw Emkay Dr, Bend, Oregon |
| Phone Number | 5414104374 |
| Fax Number | 5416785972 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164538336 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2012-12-31 |
Provider Mailing Address Detail
| Address | 965 Sw Emkay Dr |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977023598 |
| Phone Number | 5414104374 |
| Fax Number | 5416785972 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L2638 |
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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 provider identifier assigned to Carol A Zancanella?
The Carol A Zancanella has been issued the NPI (National Provider Identifier) 1164538336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Carol A Zancanella's physical address?
The Carol A Zancanella is physically located at 965 Sw Emkay Dr, in the city of Bend, OR, with the postal code 977023598.
What is Carol A Zancanella's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carol A Zancanella is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164538336 to Carol A Zancanella?
The Centers for Medicare & Medicaid Services originally issued the 1164538336 to Carol A Zancanella on 2006-08-21.
When was the information regarding Carol A Zancanella most recently updated?
The details pertaining to the Carol A Zancanella, including its address, specialty, and other relevant information, were last refreshed on 2012-12-31.