Healthcare Provider Details

I. General information

NPI: 1588895932
Provider Name (Legal Business Name): RON J CLIMER L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 08/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 W ASHLAN AVE STE 103
CLOVIS CA
93612-4742
US

IV. Provider business mailing address

875 W ASHLAN AVE STE 103
CLOVIS CA
93612-4742
US

V. Phone/Fax

Practice location:
  • Phone: 559-292-5449
  • Fax: 559-292-5440
Mailing address:
  • Phone: 559-292-5449
  • Fax: 559-292-5440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: