Eric Averette in Jacksonville - Clinical

Eric Averette - NPI 1841496056

Eric Averette is a Clinical in Jacksonville, Alabama. Eric Averette practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Averette is 1841496056. The last update date is 2007-07-09.

Eric Averette's current location address is 521 Stoney Brook Dr Sw, Jacksonville, Alabama. You can contact this provider via phone number 2565916921. The mailing address for Eric Averette is 521 Stoney Brook Dr Sw, Jacksonville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Averette
Address 521 Stoney Brook Dr Sw, Jacksonville, Alabama
Phone Number 2565916921
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1841496056
Provider Enumeration Date 2007-06-25
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 521 Stoney Brook Dr Sw
City Jacksonville
State Alabama (AL)
Post Code 362653333
Phone Number 2565916921
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2076C
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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FAQs about Eric Averette

What is the unique identification code assigned to Eric Averette by the Centers for Medicare & Medicaid Services?

The Eric Averette has been issued the NPI (National Provider Identifier) 1841496056. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Eric Averette is geographically located?

The Eric Averette is physically situated at the following location: 521 Stoney Brook Dr Sw, Jacksonville, AL, 362653333.

What is Eric Averette's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Eric Averette is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841496056 to Eric Averette?

The Centers for Medicare & Medicaid Services originally issued the 1841496056 to Eric Averette on 2007-06-25.

When was the information pertaining to Eric Averette most recently updated or revised?

The details related to Eric Averette, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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