Dana Bouchillon in Fort Campbell - Social Worker
Dana Bouchillon - NPI 1649309261
Dana Bouchillon is a Social Worker in Fort Campbell, Kentucky. Dana Bouchillon practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Dana Bouchillon is 1649309261. The last update date is 2007-07-08.
Dana Bouchillon's current location address is 1517 Bastogne Ave # A, Fort Campbell, Kentucky. You can contact this provider via phone number 9315364897. The mailing address for Dana Bouchillon is 1517 Bastogne Ave # A, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Bouchillon |
|---|---|
| Address | 1517 Bastogne Ave # A, Fort Campbell, Kentucky |
| Phone Number | 9315364897 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1649309261 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1517 Bastogne Ave # A |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422233505 |
| Phone Number | 9315364897 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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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 an |
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What is the unique provider identifier assigned to Dana Bouchillon?
The Dana Bouchillon has been issued the NPI (National Provider Identifier) 1649309261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Dana Bouchillon's physical address?
The Dana Bouchillon is physically located at 1517 Bastogne Ave # A, in the city of Fort Campbell, KY, with the postal code 422233505.
What is Dana Bouchillon's area of expertise and its corresponding taxonomy classification?
The Dana Bouchillon's field of specialization is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dana Bouchillon receive the assignment of its 1649309261 from the Centers for Medicare & Medicaid Services?
The Dana Bouchillon was issued its 1649309261 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the information pertaining to Dana Bouchillon most recently updated or revised?
The details related to Dana Bouchillon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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