Sue Ellen Watson in Forrest City - Clinical
Sue Ellen Watson - NPI 1477658995
Sue Ellen Watson is a Clinical in Forrest City, Arkansas. Sue Ellen Watson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Ellen Watson is 1477658995. The last update date is 2007-07-09.
Sue Ellen Watson's current location address is 1825 E Broadway St, Forrest City, Arkansas. You can contact this provider via phone number 8706302328 and fax number 8706302348. The mailing address for Sue Ellen Watson is 1825 E Broadway St, Forrest City, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ellen Watson |
|---|---|
| Address | 1825 E Broadway St, Forrest City, Arkansas |
| Phone Number | 8706302328 |
| Fax Number | 8706302348 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1477658995 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1825 E Broadway St |
|---|---|
| City | Forrest City |
| State | Arkansas (AR) |
| Post Code | 723353409 |
| Phone Number | 8706302328 |
| Fax Number | 8706302348 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW000000300 |
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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 |
|---|---|---|---|
| 3922857 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sue Ellen Watson?
The Sue Ellen Watson has been issued the NPI (National Provider Identifier) 1477658995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sue Ellen Watson's facilities are situated?
The facilities of Sue Ellen Watson are physically located at the following address: 1825 E Broadway St, Forrest City, AR, 723353409.
What is the Sue Ellen Watson's specialty and taxonomy code?
The Sue Ellen Watson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Sue Ellen Watson receive its 1477658995 assignment?
The Sue Ellen Watson was assigned its 1477658995 on 2006-09-13, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Sue Ellen Watson most recently updated or revised?
The details related to Sue Ellen Watson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.