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BLUE TIGER RECOVERY INC NPI 1508276056


NPI Information

NPI: 1508276056
Provider Name: BLUE TIGER RECOVERY INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 05D2092671

Address:
73555 ALESSANDRO DR
PALM DESERT, CA
ZIP 92260
Phone: (760) 534-3487
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BLUE TIGER RECOVERY INC is a clinical social worker in Palm Desert, CA. The provider is 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BLUE TIGER RECOVERY INC NPI is 1508276056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

73555 ALESSANDRO DR
PALM DESERT, CA
ZIP 92260-635
Phone: (760) 534-3487
Fax: (442) 334-7901

The provider's authorized official is Terry L Gatewood .
The authorized official title is Ceo and has the following contact phone number (323) 217-8600.

The CLIA number assigned to this NPI record is 05D2092671 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2014 and was last updated on 6/30/2022.


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
11041C0700XSocial WorkerClinical29305CALIFORNIAYes

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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