Thea Dake is a Clinical in San Marcos, Texas. Thea Dake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thea Dake is 1326031592. The last update date is 2007-07-08.
Thea Dake's current location address is 310 Stagecoach Trl, San Marcos, Texas. You can contact this provider via phone number 5123923398 and fax number 5123922890. The mailing address for Thea Dake is 310 Stagecoach Trl, San Marcos, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thea Dake |
|---|---|
| Address | 310 Stagecoach Trl, San Marcos, Texas |
| Phone Number | 5123923398 |
| Fax Number | 5123922890 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1326031592 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 Stagecoach Trl |
|---|---|
| City | San Marcos |
| State | Texas (TX) |
| Post Code | 786665134 |
| Phone Number | 5123923398 |
| Fax Number | 5123922890 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 365 |
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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 |
|---|---|---|---|
| 86463Q | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Thea Dake's 1326031592?
The Thea Dake's NPI (National Provider Identifier) Number is 1326031592. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Thea Dake's facilities are situated?
The facilities of Thea Dake are physically located at the following address: 310 Stagecoach Trl, San Marcos, TX, 786665134.
What is Thea Dake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thea Dake'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 1326031592 to Thea Dake?
The Centers for Medicare & Medicaid Services assigned the 1326031592 to Thea Dake on 2005-08-23.
As of what date was the information pertaining to Thea Dake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thea Dake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY