Misty Dillon is a Clinical in Tucson, Arizona. Misty Dillon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Misty Dillon is 1215963764. The last update date is 2023-10-11.
Misty Dillon's current location address is 4625 E Broadway Blvd Ste 222, Tucson, Arizona. You can contact this provider via phone number 5209065478. The mailing address for Misty Dillon is 4625 E Broadway Blvd Ste 222, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Dillon |
|---|---|
| Address | 4625 E Broadway Blvd Ste 222, Tucson, Arizona |
| Phone Number | 5209065478 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, LISA |
NPI Number Detail
| NPI Number | 1215963764 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2023-10-11 |
Provider Mailing Address Detail
| Address | 4625 E Broadway Blvd Ste 222 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857113527 |
| Phone Number | 5209065478 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 21035 |
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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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What is the unique 10-digit identifier code assigned to Misty Dillon by the Centers for Medicare & Medicaid Services?
The Misty Dillon has been issued the NPI (National Provider Identifier) 1215963764 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Misty Dillon located?
The Misty Dillon is located at 4625 E Broadway Blvd Ste 222, Tucson, AZ 857113527.
What is Misty Dillon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Misty Dillon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Misty Dillon receive its 1215963764 assignment?
The Misty Dillon was assigned its 1215963764 on 2006-06-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Misty Dillon most recently updated?
The details pertaining to the Misty Dillon, including its address, specialty, and other relevant information, were last refreshed on 2023-10-11.
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