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LIFELONG MEDICAL CARE NPI 1225418544


NPI Information

NPI: 1225418544
Provider Name: LIFELONG MEDICAL CARE
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 05D2180345

Address:
1030 NEVIN AVE
RICHMOND, CA
ZIP 94801
Phone: (510) 215-5001
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LIFELONG MEDICAL CARE is a clinical social worker in Richmond, 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. LIFELONG MEDICAL CARE NPI is 1225418544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 NEVIN AVE
RICHMOND, CA
ZIP 94801-122
Phone: (510) 215-5001

The provider's authorized official is Rick Clark .
The authorized official title is Consultant and has the following contact phone number (510) 981-3203.

The CLIA number assigned to this NPI record is 05D2180345 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/2/2015.


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 WorkerClinicalLCSW11778CALIFORNIAYes

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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