Russell Vernon Pearson in Queen Creek - Clinical
Russell Vernon Pearson - NPI 1225022148
Russell Vernon Pearson is a Clinical in Queen Creek, Arizona. Russell Vernon Pearson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell Vernon Pearson is 1225022148. The last update date is 2007-07-08.
Russell Vernon Pearson's current location address is 3717 E Shapinsay Dr, Queen Creek, Arizona. You can contact this provider via phone number 4809879460. The mailing address for Russell Vernon Pearson is 3717 E Shapinsay Dr, Queen Creek, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell Vernon Pearson |
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Address | 3717 E Shapinsay Dr, Queen Creek, Arizona |
Phone Number | 4809879460 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1225022148 |
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Provider Enumeration Date | 2005-09-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3717 E Shapinsay Dr |
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City | Queen Creek |
State | Arizona (AZ) |
Post Code | 852425038 |
Phone Number | 4809879460 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-4155 |
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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What is the unique identifier code issued to Russell Vernon Pearson by the Centers for Medicare & Medicaid Services?
The Russell Vernon Pearson has been assigned the NPI (National Provider Identifier) 1225022148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russell Vernon Pearson is located?
The Russell Vernon Pearson is situated at the following address: 3717 E Shapinsay Dr, Queen Creek, AZ, 852425038.
What is Russell Vernon Pearson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Vernon Pearson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Russell Vernon Pearson receive the assignment of its 1225022148 from the Centers for Medicare & Medicaid Services?
The Russell Vernon Pearson was issued its 1225022148 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date was the information regarding Russell Vernon Pearson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell Vernon Pearson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.