Joseph M Concellosi in San Diego - Community/behavioral Health

Joseph M Concellosi - NPI 1710003660

Joseph M Concellosi is a Community/behavioral Health in San Diego, California. Joseph M Concellosi practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Joseph M Concellosi is 1710003660. The last update date is 2007-07-08.

Joseph M Concellosi's current location address is 3320 Kemper St, San Diego, California. You can contact this provider via phone number 6197586205 and fax number 6197526209. The mailing address for Joseph M Concellosi is 3320 Kemper St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph M Concellosi
Address 3320 Kemper St, San Diego, California
Phone Number 6197586205
Fax Number 6197526209
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1710003660
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3320 Kemper St
City San Diego
State California (CA)
Post Code 921104903
Phone Number 6197586205
Fax Number 6197526209

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No LCS13561
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LCS13561 CA LCSW LICENSE

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FAQs about Joseph M Concellosi

What is the unique identifier code issued to Joseph M Concellosi by the Centers for Medicare & Medicaid Services (CMS)?

The Joseph M Concellosi has been assigned the NPI (National Provider Identifier) 1710003660. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Joseph M Concellosi's physical address?

The Joseph M Concellosi is physically located at 3320 Kemper St, in the city of San Diego, CA, with the postal code 921104903.

What is Joseph M Concellosi's area of expertise and its corresponding taxonomy classification?

The Joseph M Concellosi's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1710003660 to Joseph M Concellosi?

The Joseph M Concellosi received its 1710003660 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.

When was the information pertaining to Joseph M Concellosi most recently updated or revised?

The details related to Joseph M Concellosi, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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