Kim O Mcreynolds is a Clinical in Winslow, Arizona. Kim O Mcreynolds practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim O Mcreynolds is 1962565994. The last update date is 2007-07-08.
Kim O Mcreynolds's current location address is 1328 E Oak St, Winslow, Arizona. You can contact this provider via phone number 9285875575 and fax number 9282890040. The mailing address for Kim O Mcreynolds is 1328 E Oak St, Winslow, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim O Mcreynolds |
|---|---|
| Address | 1328 E Oak St, Winslow, Arizona |
| Phone Number | 9285875575 |
| Fax Number | 9282890040 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1962565994 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1328 E Oak St |
|---|---|
| City | Winslow |
| State | Arizona (AZ) |
| Post Code | 860474438 |
| Phone Number | 9285875575 |
| Fax Number | 9282890040 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW11566 |
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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 |
|---|---|---|---|
| 879885 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kim O Mcreynolds by the Centers for Medicare & Medicaid Services?
The Kim O Mcreynolds has been assigned the NPI (National Provider Identifier) 1962565994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kim O Mcreynolds is geographically located?
The Kim O Mcreynolds is physically situated at the following location: 1328 E Oak St, Winslow, AZ, 860474438.
What is the area of specialization for Kim O Mcreynolds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kim O Mcreynolds is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Kim O Mcreynolds receive the assignment of its 1962565994 from the Centers for Medicare & Medicaid Services?
The Kim O Mcreynolds was issued its 1962565994 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date was the information regarding Kim O Mcreynolds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim O Mcreynolds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.