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MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC. NPI 1811641244


NPI Information

NPI: 1811641244
Provider Name: MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 41D1044579

Address:
511 N HOLLYWOOD WAY
BURBANK, CA
ZIP 91505
Phone: (855) 417-2486
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MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA, INC. is a clinical social worker in Burbank, 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. MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA, INC. NPI is 1811641244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 N HOLLYWOOD WAY
BURBANK, CA
ZIP 91505-406
Phone: (855) 417-2486

The provider's authorized official is Deborah Jean Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 41D1044579 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 2/9/2022.


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 WorkerClinicalYes

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: 11/14/2023

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