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CHILD STUDY CLINIC NPI 1396869780


NPI Information

NPI: 1396869780
Provider Name: CHILD STUDY CLINIC

Doing Business As: S.T.A.R.S.

Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization

CLIA Number: 45D0962394

Address:
117 MEDICAL DR STE 4
VICTORIA, TX
ZIP 77904
Phone: (361) 575-0681
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CHILD STUDY CLINIC is a case manager care coordinator in Victoria, TX. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. CHILD STUDY CLINIC NPI is 1396869780. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As S.t.a.r.s..

The provider's business location address is:

117 MEDICAL DR STE 4
VICTORIA, TX
ZIP 77904-114
Phone: (361) 575-0681
Fax: (361) 575-0100

The provider's authorized official is Katie Serrano .
The authorized official title is Clinic Coordinator I and has the following contact phone number (361) 575-0681.

The CLIA number assigned to this NPI record is 45D0962394 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorYes

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: 5/5/2024

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