Tom Burks is a Clinical in Benton, Arkansas. Tom Burks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tom Burks is 1376767574. The last update date is 2008-04-02.
Tom Burks'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 Tom Burks is 307 E Sevier St, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Burks |
|---|---|
| Address | 307 E Sevier St, Benton, Arkansas |
| Phone Number | 5013154224 |
| Fax Number | 5017760411 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1376767574 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2008-04-02 |
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 | 630-C |
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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 Tom Burks by the Centers for Medicare & Medicaid Services?
The Tom Burks has been issued the NPI (National Provider Identifier) 1376767574 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tom Burks is physically located?
The Tom Burks is situated at the following address: 307 E Sevier St, Benton, AR 720153934.
What is the Tom Burks's specialty and taxonomy code?
The Tom Burks's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Tom Burks receive its 1376767574 assignment from the Centers for Medicare & Medicaid Services?
The Tom Burks was assigned its 1376767574 on 2007-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tom Burks most recently updated or revised?
The details related to Tom Burks, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-02.
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