is a Clinical in Logan, . practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1346390267. The last update date is .
's current location address is 306 Main St, Logan, . You can contact this provider via phone number 3047527707 and fax number 3047520772. The mailing address for is 306 Main St, Logan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 306 Main St, Logan, |
| Phone Number | 3047527707 |
| Fax Number | 3047520772 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346390267 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 306 Main St |
|---|---|
| City | Logan |
| State | (WV) |
| Post Code | 256013906 |
| Phone Number | 3047527707 |
| Fax Number | 3047520772 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | AP00939959 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1715139 | WV | BCBS PROVIDER NUMBER | |
| 3810018628 | WV | -- |
Post Comment/ Review Below
Query execution failed: SQLSTATE[42000]: Syntax error or access violation: 1064 You have an error in your SQL syntax; check the manual that corresponds to your MariaDB server version for the right syntax to use near ') ORDER BY id ASC' at line 1
FAQs about
Other Providers of Clinical