Eddie B Carr is a Clinical in Pine Bluff, Arkansas. Eddie B Carr practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eddie B Carr is 1760595995. The last update date is 2007-07-08.
Eddie B Carr's current location address is 6210 Dollarway Rd, Pine Bluff, Arkansas. You can contact this provider via phone number 8702473588 and fax number 8702472072. The mailing address for Eddie B Carr is 6210 Dollarway Rd, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie B Carr |
|---|---|
| Address | 6210 Dollarway Rd, Pine Bluff, Arkansas |
| Phone Number | 8702473588 |
| Fax Number | 8702472072 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1760595995 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6210 Dollarway Rd |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716023733 |
| Phone Number | 8702473588 |
| Fax Number | 8702472072 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1422-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 identification code issued to Eddie B Carr by the Centers for Medicare & Medicaid Services?
The Eddie B Carr has been assigned the NPI (National Provider Identifier) 1760595995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Eddie B Carr's facilities are geographically located?
The facilities of Eddie B Carr are physically situated at the following location: 6210 Dollarway Rd, Pine Bluff, AR, 716023733.
What is the Eddie B Carr's specialty and taxonomy code?
The Eddie B Carr's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1760595995 assigned to Eddie B Carr?
The Eddie B Carr was issued its 1760595995 on 2006-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Eddie B Carr last refreshed?
The information related to the Eddie B Carr, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1699778829
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