Wendy Chandross Cisw Pc in Phoenix - Clinical

Wendy Chandross Cisw Pc - NPI 1245410257

Wendy Chandross Cisw Pc is a Clinical in Phoenix, Arizona. Wendy Chandross Cisw Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wendy Chandross Cisw Pc is 1245410257. The last update date is 2022-07-21.

Wendy Chandross Cisw Pc's current location address is 21001 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6025711978 and fax number 6025481446. The mailing address for Wendy Chandross Cisw Pc is 21001 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wendy Chandross Cisw Pc
Address 21001 N Tatum Blvd, Phoenix, Arizona
Phone Number 6025711978
Fax Number 6025481446
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Chandross Wendy
Credentials LCSW
Telephone Number 6025711978

NPI Number Detail

NPI Number 1245410257
Provider Enumeration Date 2007-11-07
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 21001 N Tatum Blvd
City Phoenix
State Arizona (AZ)
Post Code 850504206
Phone Number 6025711978
Fax Number 6025481446

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 10960
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
944307 AZ --

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FAQs about Wendy Chandross Cisw Pc

What is the unique identifier code issued to Wendy Chandross Cisw Pc by the Centers for Medicare & Medicaid Services?

The Wendy Chandross Cisw Pc has been assigned the NPI (National Provider Identifier) 1245410257. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Wendy Chandross Cisw Pc's facilities are situated?

The facilities of Wendy Chandross Cisw Pc are physically located at the following address: 21001 N Tatum Blvd, Phoenix, AZ, 850504206.

What is Wendy Chandross Cisw Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wendy Chandross Cisw Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When was the Wendy Chandross Cisw Pc's 1245410257 issued?

The Wendy Chandross Cisw Pc's 1245410257 was issued on 2007-11-07.

When was the Wendy Chandross Cisw Pc's information last updated?

The Wendy Chandross Cisw Pc's information was last updated on 2022-07-21.

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