Sara Licon is a Clinical in Anaheim, California. Sara Licon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sara Licon is 1760681316. The last update date is 2023-05-30.
Sara Licon's current location address is 801 E Katella Ave, Anaheim, California. You can contact this provider via phone number 7149224117. The mailing address for Sara Licon is 801 E Katella Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara Licon |
|---|---|
| Address | 801 E Katella Ave, Anaheim, California |
| Phone Number | 7149224117 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1760681316 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2023-05-30 |
Provider Mailing Address Detail
| Address | 801 E Katella Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928056614 |
| Phone Number | 7149224117 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 80557 |
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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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Post Comment/ Review Below
What is the Sara Licon's 1760681316?
The Sara Licon's NPI (National Provider Identifier) Number is 1760681316. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sara Licon?
The Sara Licon is physically situated at 801 E Katella Ave, in the city of Anaheim, state of CA, with the postal code 928056614.
What is Sara Licon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sara Licon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760681316 to Sara Licon?
The Centers for Medicare & Medicaid Services assigned the 1760681316 to Sara Licon on 2007-07-13.
When was the information pertaining to Sara Licon most recently updated or revised?
The details related to Sara Licon, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-30.
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