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FOOTSTEPS A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI 1144720665


NPI Information

NPI: 1144720665
Provider Name: FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Doing Business As: FOOTSTEPS FAMILY SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
55 SHAW AVE STE 115
CLOVIS, CA
ZIP 93612
Phone: (559) 825-1324
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FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION is a mental health counselor in Clovis, CA. FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI is 1144720665. The provider is registered as an organization entity type.
The provider Is Doing Business As Footsteps Family Services.

The provider's business location address is:

55 SHAW AVE STE 115
CLOVIS, CA
ZIP 93612
Phone: (559) 825-1324
Fax: (559) 408-5557

The provider's authorized official is Arturo Reyes Ocampo .
The authorized official title is Ceo/clinical Director and has the following contact phone number (559) 825-1324.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 6/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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