Heale, A Professional Licensed Clinical Social Work Corporation

LBN: Heale, A Professional Licensed Clinical Social Work Corporation
Heale, A Professional Licensed Clinical Social Work Corporation is an health care organization with primary practice located at 420 Downey Ave , Modesto CA 95354-1301. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Heale, A Professional Licensed Clinical Social Work Corporation can be contacted via phone (209) 450-8037, or through Hale, Melissa D via phone (209) 450-8037.

Contact Information

Primary practice address
420 Downey Ave Modesto CA 95354-1301
Fax:
Website:
Authorized official contact:
Name: Hale, Melissa D Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1720736374
LBN Legal business name Heale, A Professional Licensed Clinical Social Work Corporation
DBA Doing business as
Authorized official Hale, Melissa D Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720736374 NPPES
California MEDICAID 1700125705
California MEDICAID 1346908167

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