Amber Kizzire Sullivan in Springdale - Clinical
Amber Kizzire Sullivan - NPI 1053430728
Amber Kizzire Sullivan is a Clinical in Springdale, Arkansas. Amber Kizzire Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amber Kizzire Sullivan is 1053430728. The last update date is 2007-07-08.
Amber Kizzire Sullivan's current location address is 2400 S 48th St, Springdale, Arkansas. You can contact this provider via phone number 4797502020 and fax number 4798722441. The mailing address for Amber Kizzire Sullivan is 2400 S 48th St, Springdale, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amber Kizzire Sullivan |
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Address | 2400 S 48th St, Springdale, Arkansas |
Phone Number | 4797502020 |
Fax Number | 4798722441 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1053430728 |
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Provider Enumeration Date | 2007-03-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2400 S 48th St |
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City | Springdale |
State | Arkansas (AR) |
Post Code | 727626683 |
Phone Number | 4797502020 |
Fax Number | 4798722441 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1690-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 |
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What is the unique identification code assigned to Amber Kizzire Sullivan by the Centers for Medicare & Medicaid Services?
The Amber Kizzire Sullivan has been issued the NPI (National Provider Identifier) 1053430728. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Amber Kizzire Sullivan is physically located?
The Amber Kizzire Sullivan is physically situated at the following address: 2400 S 48Th St, Springdale, AR, 727626683.
What is Amber Kizzire Sullivan's area of expertise and its corresponding taxonomy classification?
The Amber Kizzire Sullivan'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 Centers for Medicare & Medicaid Services originally issue the 1053430728 to Amber Kizzire Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1053430728 to Amber Kizzire Sullivan on 2007-03-27.
When was the information pertaining to Amber Kizzire Sullivan most recently updated or revised?
The details related to Amber Kizzire Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.