Teddy A Harris is a Clinical in Martinsburg, . Teddy A Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teddy A Harris is 1588663256. The last update date is 2021-01-14.
Teddy A Harris's current location address is Po Box 1146, Martinsburg, . You can contact this provider via phone number 3042637023 and fax number 3042640508. The mailing address for Teddy A Harris is Po Box 1146, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teddy A Harris |
|---|---|
| Address | Po Box 1146, Martinsburg, |
| Phone Number | 3042637023 |
| Fax Number | 3042640508 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588663256 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2021-01-14 |
Provider Mailing Address Detail
| Address | Po Box 1146 |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 254021146 |
| Phone Number | 3042637023 |
| Fax Number | 3042640508 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CP00939221 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810000510 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Teddy A Harris by the Centers for Medicare & Medicaid Services?
The Teddy A Harris has been issued the NPI (National Provider Identifier) 1588663256 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Teddy A Harris?
The Teddy A Harris is physically situated at Po Box 1146, in the city of Martinsburg, state of WV, with the postal code 254021146.
What is the area of specialization for Teddy A Harris, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Teddy A Harris is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Teddy A Harris's 1588663256 issued?
The Teddy A Harris's 1588663256 was issued on 2005-07-15.
As of what date were the details pertaining to Teddy A Harris last refreshed?
The information related to the Teddy A Harris, including its address, specialty, and other relevant details, was last updated on 2021-01-14.