Russell P Widder is a Clinical in Wyoming, Delaware. Russell P Widder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell P Widder is 1336172386. The last update date is 2007-07-09.
Russell P Widder's current location address is 160 Egret Ln, Wyoming, Delaware. You can contact this provider via phone number 3027361820 and fax number 3027365016. The mailing address for Russell P Widder is 160 Egret Ln, Wyoming, Delaware. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell P Widder |
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Address | 160 Egret Ln, Wyoming, Delaware |
Phone Number | 3027361820 |
Fax Number | 3027365016 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1336172386 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 160 Egret Ln |
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City | Wyoming |
State | Delaware (DE) |
Post Code | 199344002 |
Phone Number | 3027361820 |
Fax Number | 3027365016 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | Q1-0000180 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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643973 | DE | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Russell P Widder?
The Russell P Widder has been issued the NPI (National Provider Identifier) 1336172386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Russell P Widder is physically located?
The Russell P Widder is physically situated at the following address: 160 Egret Ln, Wyoming, DE, 199344002.
What is Russell P Widder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Russell P Widder is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1336172386 assigned to Russell P Widder?
The Russell P Widder was issued its 1336172386 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Russell P Widder's information last updated?
The Russell P Widder's information was last updated on 2007-07-09.