Phyllis A Henderson in Tuscaloosa - Clinical
Phyllis A Henderson - NPI 1083720544
Phyllis A Henderson is a Clinical in Tuscaloosa, Alabama. Phyllis A Henderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis A Henderson is 1083720544. The last update date is 2007-07-08.
Phyllis A Henderson's current location address is 200 University Blvd, Tuscaloosa, Alabama. You can contact this provider via phone number 2057590799 and fax number 2057590845. The mailing address for Phyllis A Henderson is 200 University Blvd, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis A Henderson |
|---|---|
| Address | 200 University Blvd, Tuscaloosa, Alabama |
| Phone Number | 2057590799 |
| Fax Number | 2057590845 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083720544 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 University Blvd |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354011205 |
| Phone Number | 2057590799 |
| Fax Number | 2057590845 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1596C |
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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 |
|---|---|---|---|
| 51553051HEN | AL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Phyllis A Henderson by the Centers for Medicare & Medicaid Services?
The Phyllis A Henderson has been assigned the NPI (National Provider Identifier) 1083720544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Phyllis A Henderson?
The Phyllis A Henderson is physically situated at 200 University Blvd, in the city of Tuscaloosa, state of AL, with the postal code 354011205.
What is the area of specialization for Phyllis A Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phyllis A Henderson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Phyllis A Henderson receive the assignment of its 1083720544 from the Centers for Medicare & Medicaid Services?
The Phyllis A Henderson was issued its 1083720544 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the Phyllis A Henderson's information last updated?
The Phyllis A Henderson's information was last updated on 2007-07-08.