Stephen Mollica Forkins in Antioch - Clinical
Stephen Mollica Forkins - NPI 1346301769
Stephen Mollica Forkins is a Clinical in Antioch, California. Stephen Mollica Forkins practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Mollica Forkins is 1346301769. The last update date is 2007-07-08.
Stephen Mollica Forkins's current location address is 2213 Buchanan Rd, Antioch, California. You can contact this provider via phone number 9257795810. The mailing address for Stephen Mollica Forkins is 2213 Buchanan Rd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Mollica Forkins |
|---|---|
| Address | 2213 Buchanan Rd, Antioch, California |
| Phone Number | 9257795810 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346301769 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2213 Buchanan Rd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945094265 |
| Phone Number | 9257795810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 19102 |
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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 identifier code issued to Stephen Mollica Forkins by the Centers for Medicare & Medicaid Services?
The Stephen Mollica Forkins has been assigned the NPI (National Provider Identifier) 1346301769 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stephen Mollica Forkins is physically located?
The Stephen Mollica Forkins is physically situated at the following address: 2213 Buchanan Rd, Antioch, CA, 945094265.
What is the area of specialization for Stephen Mollica Forkins, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Mollica Forkins is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346301769 to Stephen Mollica Forkins?
The Stephen Mollica Forkins received its 1346301769 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Stephen Mollica Forkins's details last updated?
The information pertaining to the Stephen Mollica Forkins, including its address, specialty, and other details, was most recently updated on 2007-07-08.