Kimberly D Yada in Little Rock Air Forc - Clinical
Kimberly D Yada - NPI 1720024102
Kimberly D Yada is a Clinical in Little Rock Air Forc, Arkansas. Kimberly D Yada practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly D Yada is 1720024102. The last update date is 2020-02-26.
Kimberly D Yada's current location address is 1090 Arnold Dr, Little Rock Air Forc, Arkansas. You can contact this provider via phone number 5019877377 and fax number 5019878852. The mailing address for Kimberly D Yada is 1090 Arnold Dr, Little Rock Air Forc, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly D Yada |
|---|---|
| Address | 1090 Arnold Dr, Little Rock Air Forc, Arkansas |
| Phone Number | 5019877377 |
| Fax Number | 5019878852 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1720024102 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2020-02-26 |
Provider Mailing Address Detail
| Address | 1090 Arnold Dr |
|---|---|
| City | Little Rock Air Forc |
| State | Arkansas (AR) |
| Post Code | 720994933 |
| Phone Number | 5019877377 |
| Fax Number | 5019878852 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C-989 |
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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 |
|---|---|---|---|
| 7020013900 | AR | QUAL CHOICE | |
| 4572633 | AR | AETNA | |
| 5S661 | AR | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly D Yada by the Centers for Medicare & Medicaid Services?
The Kimberly D Yada has been assigned the NPI (National Provider Identifier) 1720024102. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kimberly D Yada?
The Kimberly D Yada is situated at 1090 Arnold Dr, in the city of Little Rock Air Forc, state of AR, with the zip code 720994933.
What is Kimberly D Yada's area of expertise and its corresponding taxonomy classification?
The Kimberly D Yada's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kimberly D Yada receive the assignment of its 1720024102 from the Centers for Medicare & Medicaid Services?
The Kimberly D Yada was issued its 1720024102 by the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the information regarding Kimberly D Yada, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kimberly D Yada, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-02-26.
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