Terry Pat Beaverson in Russellville - Clinical
Terry Pat Beaverson - NPI 1902937261
Terry Pat Beaverson is a Clinical in Russellville, Arkansas. Terry Pat Beaverson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Pat Beaverson is 1902937261. The last update date is 2011-11-03.
Terry Pat Beaverson's current location address is 110 Skyline Dr, Russellville, Arkansas. You can contact this provider via phone number 4799681298 and fax number 4799686053. The mailing address for Terry Pat Beaverson is 110 Skyline Dr, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Pat Beaverson |
|---|---|
| Address | 110 Skyline Dr, Russellville, Arkansas |
| Phone Number | 4799681298 |
| Fax Number | 4799686053 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902937261 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 110 Skyline Dr |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728013362 |
| Phone Number | 4799681298 |
| Fax Number | 4799686053 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1886-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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Terry Pat Beaverson by the Centers for Medicare & Medicaid Services?
The Terry Pat Beaverson has been assigned the NPI (National Provider Identifier) 1902937261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Terry Pat Beaverson is physically located?
The Terry Pat Beaverson is situated at the following address: 110 Skyline Dr, Russellville, AR 728013362.
What is Terry Pat Beaverson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Terry Pat Beaverson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902937261 to Terry Pat Beaverson?
The Centers for Medicare & Medicaid Services assigned the 1902937261 to Terry Pat Beaverson on 2007-03-08.
When was the information regarding Terry Pat Beaverson most recently updated?
The details pertaining to the Terry Pat Beaverson, including its address, specialty, and other relevant information, were last refreshed on 2011-11-03.
NPI Number: 1568460681
Address: 830 S. Addison Avenue, Villa Park, IL
NPI Number: 1922080514
Address: 2245 Plantation Center Dr Ste 57, Fleming Island, FL