Terrya Elder is a Clinical in Kenai, Alaska. Terrya Elder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terrya Elder is 1972775617. The last update date is 2008-04-01.
Terrya Elder's current location address is 320 S Spruce St, Kenai, Alaska. You can contact this provider via phone number 9072837635 and fax number 9072839575. The mailing address for Terrya Elder is 320 S Spruce St, Kenai, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terrya Elder |
|---|---|
| Address | 320 S Spruce St, Kenai, Alaska |
| Phone Number | 9072837635 |
| Fax Number | 9072839575 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972775617 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 320 S Spruce St |
|---|---|
| City | Kenai |
| State | Alaska (AK) |
| Post Code | 996117939 |
| Phone Number | 9072837635 |
| Fax Number | 9072839575 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1041CO700X |
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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 |
|---|---|---|---|
| 1952440570 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Terrya Elder by the Centers for Medicare & Medicaid Services?
The Terrya Elder has been issued the NPI (National Provider Identifier) 1972775617. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Terrya Elder?
The Terrya Elder is physically situated at 320 S Spruce St, in the city of Kenai, state of AK, with the postal code 996117939.
What is Terrya Elder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Terrya Elder is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Terrya Elder receive the assignment of its 1972775617 from the Centers for Medicare & Medicaid Services?
The Terrya Elder was issued its 1972775617 by the Centers for Medicare & Medicaid Services on 2008-04-01.
As of what date were the details related to Terrya Elder most recently updated or revised?
The information pertaining to Terrya Elder, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-01.
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