Brenda Nickolaison in San Diego - Clinical
Brenda Nickolaison - NPI 1679675961
Brenda Nickolaison is a Clinical in San Diego, California. Brenda Nickolaison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Nickolaison is 1679675961. The last update date is 2010-03-03.
Brenda Nickolaison's current location address is 4715 Viewridge Ave Ste 230, San Diego, California. You can contact this provider via phone number 8002578715 and fax number 8008191655. The mailing address for Brenda Nickolaison is 4715 Viewridge Ave Ste 230, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Nickolaison |
|---|---|
| Address | 4715 Viewridge Ave Ste 230, San Diego, California |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679675961 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2010-03-03 |
Provider Mailing Address Detail
| Address | 4715 Viewridge Ave Ste 230 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231680 |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 40809 |
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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 issued to Brenda Nickolaison by the Centers for Medicare & Medicaid Services?
The Brenda Nickolaison has been assigned the NPI (National Provider Identifier) 1679675961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Brenda Nickolaison located?
The Brenda Nickolaison is located at 4715 Viewridge Ave Ste 230, San Diego, CA 921231680.
What is Brenda Nickolaison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Nickolaison'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 originally issue the 1679675961 to Brenda Nickolaison?
The Centers for Medicare & Medicaid Services originally issued the 1679675961 to Brenda Nickolaison on 2006-09-05.
When was the Brenda Nickolaison's information last updated?
The Brenda Nickolaison's information was last updated on 2010-03-03.
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