Robert K Edmundson in Morgantown - Clinical
Robert K Edmundson - NPI 1104892033
Robert K Edmundson is a Clinical in Morgantown, . Robert K Edmundson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert K Edmundson is 1104892033. The last update date is 2007-07-08.
Robert K Edmundson's current location address is 930 Chestnut Ridge Rd, Morgantown, . You can contact this provider via phone number 3045984214 and fax number 3042936963. The mailing address for Robert K Edmundson is 930 Chestnut Ridge Rd, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert K Edmundson |
|---|---|
| Address | 930 Chestnut Ridge Rd, Morgantown, |
| Phone Number | 3045984214 |
| Fax Number | 3042936963 |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1104892033 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 930 Chestnut Ridge Rd |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 265052807 |
| Phone Number | 3045984214 |
| Fax Number | 3042936963 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CP00452098 |
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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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What is the Robert K Edmundson's 1104892033?
The Robert K Edmundson's NPI (National Provider Identifier) Number is 1104892033. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert K Edmundson?
The Robert K Edmundson is situated at 930 Chestnut Ridge Rd, in the city of Morgantown, state of WV, with the zip code 265052807.
What is the Robert K Edmundson's specialty and taxonomy code?
The Robert K Edmundson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Robert K Edmundson's 1104892033 issued?
The Robert K Edmundson's 1104892033 was issued on 2006-02-28.
As of what date were the details pertaining to Robert K Edmundson last refreshed?
The information related to the Robert K Edmundson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.