Douglas Dubois Burgess in Santa Maria - Clinical
Douglas Dubois Burgess - NPI 1700992062
Douglas Dubois Burgess is a Clinical in Santa Maria, California. Douglas Dubois Burgess practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Dubois Burgess is 1700992062. The last update date is 2015-04-21.
Douglas Dubois Burgess's current location address is 2050 S Blosser Rd, Santa Maria, California. You can contact this provider via phone number 8053618028 and fax number 8053618097. The mailing address for Douglas Dubois Burgess is 2050 S Blosser Rd, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas Dubois Burgess |
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Address | 2050 S Blosser Rd, Santa Maria, California |
Phone Number | 8053618028 |
Fax Number | 8053618097 |
Sole Proprietor | Y |
Credentials | L.C.S.W. |
NPI Number Detail
NPI Number | 1700992062 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2015-04-21 |
Provider Mailing Address Detail
Address | 2050 S Blosser Rd |
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City | Santa Maria |
State | California (CA) |
Post Code | 934587310 |
Phone Number | 8053618028 |
Fax Number | 8053618097 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 13534 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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FHC71031F | CA | -- | |
SW13534 | PPIN | ||
W1508 | CA | MEDICARE PTAN GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Douglas Dubois Burgess by the Centers for Medicare & Medicaid Services?
The Douglas Dubois Burgess has been issued the NPI (National Provider Identifier) 1700992062 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Douglas Dubois Burgess?
The Douglas Dubois Burgess is physically situated at 2050 S Blosser Rd, in the city of Santa Maria, state of CA, with the postal code 934587310.
What is Douglas Dubois Burgess's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Dubois Burgess'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 1700992062 to Douglas Dubois Burgess?
The Centers for Medicare & Medicaid Services originally issued the 1700992062 to Douglas Dubois Burgess on 2006-08-21.
When was the information pertaining to Douglas Dubois Burgess most recently updated or revised?
The details related to Douglas Dubois Burgess, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-21.