Ms. Joanne Carol Etheridge
Clinical Social Worker
31625 Highway 101 S
Soledad
, California 93960-9529
Ms. Joanne Carol Etheridge
Clinical Social Worker
31625 Highway 101 S
Soledad
, California 93960-9529
(831) 678-5500
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Joanne Carol Etheridge
- 31625 Highway 101 S
- Soledad, CA
- Zip : 93960-9529
- Phone : (831) 678-5500
Second Address
- Ms. Joanne Carol Etheridge
- 31625 Highway 101 S
- Soledad, CA
- Zip : 93960-9529
- Phone : (831) 678-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | LCS 8855 | CA |
National Provider Identifier
| NPI | 1003111717 |
|---|---|
| Provider Name | Ms. Joanne Carol Etheridge |
| First Address | Soledad, CA 93960-9529 |
| Second Address | Soledad, CA 93960-9529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CPR702A51404 | ANTHEM BLUE CROSS (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.