Sue B Moultrie is a Clinical in Albertville, Alabama. Sue B Moultrie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue B Moultrie is 1992715668. The last update date is 2010-09-29.
Sue B Moultrie's current location address is 123 Sand Mountain Dr., Nw, Albertville, Alabama. You can contact this provider via phone number 2568783809 and fax number 2568788022. The mailing address for Sue B Moultrie is 123 Sand Mountain Dr., Nw, Albertville, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sue B Moultrie |
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Address | 123 Sand Mountain Dr., Nw, Albertville, Alabama |
Phone Number | 2568783809 |
Fax Number | 2568788022 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1992715668 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2010-09-29 |
Provider Mailing Address Detail
Address | 123 Sand Mountain Dr., Nw |
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City | Albertville |
State | Alabama (AL) |
Post Code | 359500859 |
Phone Number | 2568783809 |
Fax Number | 2568788022 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1447C |
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 |
---|---|---|---|
51532527 | AL | BCBS | |
51551556 | AL | -- | |
631250107003 | AL | TRICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sue B Moultrie?
The Sue B Moultrie has been issued the NPI (National Provider Identifier) 1992715668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Sue B Moultrie is physically located?
The Sue B Moultrie is physically situated at the following address: 123 Sand Mountain Dr., Nw, Albertville, AL, 359500859.
What is the Sue B Moultrie's area of specialization and corresponding taxonomy classification?
The Sue B Moultrie's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Sue B Moultrie receive its 1992715668 assignment from the Centers for Medicare & Medicaid Services?
The Sue B Moultrie was assigned its 1992715668 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sue B Moultrie most recently updated or refreshed?
The details pertaining to the Sue B Moultrie, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-29.