KIMBERLY DAWN LANDROCHE


Address: 2972 W Talara Ln, Tucson, AZ 85742-4809
Phone: 5204065196

KIMBERLY DAWN LANDROCHE (NPI# 1316096563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316096563
Entity Type Individual
Full Name KIMBERLY DAWN LANDROCHE
Practice Address 2972 W Talara Ln
Tucson
AZ 85742-4809
Practice Telephone 5204065196
Practice Fax Number 5207210069
Mailing Telephone 5204065196
Mailing Fax Number 5207210069
Enumeration Date 2007-01-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 893249 05

Office Location

Street Address 2972 W TALARA LN
City TUCSON
State AZ
Zip Code 85742-4809

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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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City TUCSON
Zip Code 85742

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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