Derica Waller is a Clinical in Littleton, Colorado. Derica Waller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derica Waller is 1033258769. The last update date is 2007-07-08.
Derica Waller's current location address is 8089 S Lincoln St, Littleton, Colorado. You can contact this provider via phone number 3039155567. The mailing address for Derica Waller is 8089 S Lincoln St, Littleton, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derica Waller |
|---|---|
| Address | 8089 S Lincoln St, Littleton, Colorado |
| Phone Number | 3039155567 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033258769 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8089 S Lincoln St |
|---|---|
| City | Littleton |
| State | Colorado (CO) |
| Post Code | 801222700 |
| Phone Number | 3039155567 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 83 |
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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 Derica Waller by the Centers for Medicare & Medicaid Services?
The Derica Waller has been issued the NPI (National Provider Identifier) 1033258769, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Derica Waller's physical address?
The Derica Waller is physically located at 8089 S Lincoln St, in the city of Littleton, CO, with the postal code 801222700.
What is Derica Waller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derica Waller's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Derica Waller receive its 1033258769 assignment from the Centers for Medicare & Medicaid Services?
The Derica Waller was assigned its 1033258769 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date was the information regarding Derica Waller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derica Waller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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