John D Matlock is a Clinical in Benton, Arkansas. John D Matlock practices all healthcare services and medical treatments related to Clinical. The NPI Number for John D Matlock is 1124015078. The last update date is 2007-07-08.
John D Matlock's current location address is 307 E Sevier St, Benton, Arkansas. You can contact this provider via phone number 5013154224 and fax number 5017760411. The mailing address for John D Matlock is 307 E Sevier St, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Matlock |
|---|---|
| Address | 307 E Sevier St, Benton, Arkansas |
| Phone Number | 5013154224 |
| Fax Number | 5017760411 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124015078 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 307 E Sevier St |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153934 |
| Phone Number | 5013154224 |
| Fax Number | 5017760411 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 866C |
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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 identification code issued to John D Matlock by the Centers for Medicare & Medicaid Services?
The John D Matlock has been assigned the NPI (National Provider Identifier) 1124015078 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where John D Matlock is physically located?
The John D Matlock is situated at the following address: 307 E Sevier St, Benton, AR 720153934.
What is John D Matlock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John D Matlock'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 John D Matlock receive the assignment of its 1124015078 from the Centers for Medicare & Medicaid Services?
The John D Matlock was issued its 1124015078 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the John D Matlock's details last updated?
The information pertaining to the John D Matlock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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