Evan Lyle Maw is a Clinical in Porterville, California. Evan Lyle Maw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evan Lyle Maw is 1982611968. The last update date is 2015-05-26.
Evan Lyle Maw's current location address is 409 N Main St, Porterville, California. You can contact this provider via phone number 5597840312 and fax number 5597845827. The mailing address for Evan Lyle Maw is 409 N Main St, Porterville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Lyle Maw |
|---|---|
| Address | 409 N Main St, Porterville, California |
| Phone Number | 5597840312 |
| Fax Number | 5597845827 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1982611968 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 409 N Main St |
|---|---|
| City | Porterville |
| State | California (CA) |
| Post Code | 932572336 |
| Phone Number | 5597840312 |
| Fax Number | 5597845827 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS6551 |
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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 assigned to Evan Lyle Maw by the Centers for Medicare & Medicaid Services?
The Evan Lyle Maw has been issued the NPI (National Provider Identifier) 1982611968, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Evan Lyle Maw's physical address?
The Evan Lyle Maw is physically located at 409 N Main St, in the city of Porterville, CA, with the postal code 932572336.
What is the area of specialization for Evan Lyle Maw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evan Lyle Maw is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Evan Lyle Maw's 1982611968 issued?
The Evan Lyle Maw's 1982611968 was issued on 2006-08-02.
When was the information regarding Evan Lyle Maw most recently updated?
The details pertaining to the Evan Lyle Maw, including its address, specialty, and other relevant information, were last refreshed on 2015-05-26.
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