Carolyn Eckholm in South Lake Tahoe - Clinical
Carolyn Eckholm - NPI 1578698247
Carolyn Eckholm is a Clinical in South Lake Tahoe, California. Carolyn Eckholm practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Eckholm is 1578698247. The last update date is 2023-05-19.
Carolyn Eckholm's current location address is 2580 Lake Tahoe Blvd, South Lake Tahoe, California. You can contact this provider via phone number 9072204729. The mailing address for Carolyn Eckholm is 2580 Lake Tahoe Blvd, South Lake Tahoe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Eckholm |
|---|---|
| Address | 2580 Lake Tahoe Blvd, South Lake Tahoe, California |
| Phone Number | 9072204729 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1578698247 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2023-05-19 |
Provider Mailing Address Detail
| Address | 2580 Lake Tahoe Blvd |
|---|---|
| City | South Lake Tahoe |
| State | California (CA) |
| Post Code | 961507727 |
| Phone Number | 9072204729 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 108370 |
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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 identification code assigned to Carolyn Eckholm by the Centers for Medicare & Medicaid Services?
The Carolyn Eckholm has been issued the NPI (National Provider Identifier) 1578698247. This 10-digit code 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 Carolyn Eckholm is geographically located?
The Carolyn Eckholm is physically situated at the following location: 2580 Lake Tahoe Blvd, South Lake Tahoe, CA, 961507727.
What is Carolyn Eckholm's area of expertise and its corresponding taxonomy classification?
The Carolyn Eckholm'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 Carolyn Eckholm receive its 1578698247 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Eckholm was assigned its 1578698247 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Carolyn Eckholm's information last updated?
The Carolyn Eckholm's information was last updated on 2023-05-19.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA