Peggy Louise Tidmore-White in Little Rock - Clinical
Peggy Louise Tidmore-White - NPI 1649362179
Peggy Louise Tidmore-White is a Clinical in Little Rock, Arkansas. Peggy Louise Tidmore-White practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peggy Louise Tidmore-White is 1649362179. The last update date is 2007-07-08.
Peggy Louise Tidmore-White's current location address is 5401 Dreher Ln, Little Rock, Arkansas. You can contact this provider via phone number 5012573325 and fax number 5012573182. The mailing address for Peggy Louise Tidmore-White is 5401 Dreher Ln, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Louise Tidmore-White |
|---|---|
| Address | 5401 Dreher Ln, Little Rock, Arkansas |
| Phone Number | 5012573325 |
| Fax Number | 5012573182 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649362179 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5401 Dreher Ln |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722094804 |
| Phone Number | 5012573325 |
| Fax Number | 5012573182 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C-1435 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peggy Louise Tidmore-White by the Centers for Medicare & Medicaid Services?
The Peggy Louise Tidmore-White has been issued the NPI (National Provider Identifier) 1649362179, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Peggy Louise Tidmore-White is geographically located?
The Peggy Louise Tidmore-White is physically situated at the following location: 5401 Dreher Ln, Little Rock, AR, 722094804.
What is Peggy Louise Tidmore-White's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peggy Louise Tidmore-White is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Peggy Louise Tidmore-White's 1649362179 issued?
The Peggy Louise Tidmore-White's 1649362179 was issued on 2006-09-29.
When was the information regarding Peggy Louise Tidmore-White, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peggy Louise Tidmore-White, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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