Vicki Lee Eaton is a Clinical in Mesa, Arizona. Vicki Lee Eaton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vicki Lee Eaton is 1629148697. The last update date is 2020-04-08.
Vicki Lee Eaton's current location address is 825 W Jerome Cir, Mesa, Arizona. You can contact this provider via phone number 8478497140. The mailing address for Vicki Lee Eaton is 825 W Jerome Cir, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Lee Eaton |
|---|---|
| Address | 825 W Jerome Cir, Mesa, Arizona |
| Phone Number | 8478497140 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629148697 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-04-08 |
Provider Mailing Address Detail
| Address | 825 W Jerome Cir |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852105939 |
| Phone Number | 8478497140 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-005721 |
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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 |
|---|---|---|---|
| 1626654 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Vicki Lee Eaton by the Centers for Medicare & Medicaid Services?
The Vicki Lee Eaton has been assigned the NPI (National Provider Identifier) 1629148697 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Vicki Lee Eaton's facilities are situated?
The facilities of Vicki Lee Eaton are physically located at the following address: 825 W Jerome Cir, Mesa, AZ, 852105939.
What is Vicki Lee Eaton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vicki Lee Eaton is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Vicki Lee Eaton's 1629148697 issued?
The Vicki Lee Eaton's 1629148697 was issued on 2006-11-08.
When was the information related to Vicki Lee Eaton most recently updated or refreshed?
The details pertaining to the Vicki Lee Eaton, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-04-08.
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