Juan G Chavarria is a Clinical in Nampa, Idaho. Juan G Chavarria practices all healthcare services and medical treatments related to Clinical. The NPI Number for Juan G Chavarria is 1699989681. The last update date is 2007-07-08.
Juan G Chavarria's current location address is 16 12th Ave So, Nampa, Idaho. You can contact this provider via phone number 2084613720 and fax number 2084611787. The mailing address for Juan G Chavarria is 16 12th Ave So, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan G Chavarria |
|---|---|
| Address | 16 12th Ave So, Nampa, Idaho |
| Phone Number | 2084613720 |
| Fax Number | 2084611787 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1699989681 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16 12th Ave So |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 83651 |
| Phone Number | 2084613720 |
| Fax Number | 2084611787 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LMSW26989 |
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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 provider identifier assigned to Juan G Chavarria?
The Juan G Chavarria has been issued the NPI (National Provider Identifier) 1699989681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Juan G Chavarria is located?
The Juan G Chavarria is situated at the following address: 16 12Th Ave So, Nampa, ID, 83651.
What is Juan G Chavarria's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Juan G Chavarria is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699989681 to Juan G Chavarria?
The Juan G Chavarria received its 1699989681 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date were the details related to Juan G Chavarria most recently updated or revised?
The information pertaining to Juan G Chavarria, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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