Courtney Elaine Goodrum in Fayetteville - Clinical
Courtney Elaine Goodrum - NPI 1003036302
Courtney Elaine Goodrum is a Clinical in Fayetteville, Arkansas. Courtney Elaine Goodrum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Courtney Elaine Goodrum is 1003036302. The last update date is 2018-04-20.
Courtney Elaine Goodrum's current location address is 1 W Sunbridge Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4794435575 and fax number 4797508967. The mailing address for Courtney Elaine Goodrum is 1 W Sunbridge Dr, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Courtney Elaine Goodrum |
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Address | 1 W Sunbridge Dr, Fayetteville, Arkansas |
Phone Number | 4794435575 |
Fax Number | 4797508967 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1003036302 |
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Provider Enumeration Date | 2007-04-27 |
Last Updated Date | 2018-04-20 |
Provider Mailing Address Detail
Address | 1 W Sunbridge Dr |
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City | Fayetteville |
State | Arkansas (AR) |
Post Code | 727031825 |
Phone Number | 4794435575 |
Fax Number | 4797508967 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1611-C |
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 issued to Courtney Elaine Goodrum by the Centers for Medicare & Medicaid Services?
The Courtney Elaine Goodrum has been assigned the NPI (National Provider Identifier) 1003036302 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Courtney Elaine Goodrum is geographically located?
The Courtney Elaine Goodrum is physically situated at the following location: 1 W Sunbridge Dr, Fayetteville, AR, 727031825.
What is the Courtney Elaine Goodrum's area of specialization and corresponding taxonomy classification?
The Courtney Elaine Goodrum's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Courtney Elaine Goodrum receive its 1003036302?
The Courtney Elaine Goodrum was issued its 1003036302 on 2007-04-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Courtney Elaine Goodrum most recently updated or revised?
The information pertaining to Courtney Elaine Goodrum, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-20.
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