John Louis Vertich in Bradenton - Clinical

John Louis Vertich - NPI 1003981937

John Louis Vertich is a Clinical in Bradenton, Florida. John Louis Vertich practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Louis Vertich is 1003981937. The last update date is 2014-09-17.

John Louis Vertich's current location address is 9114 58th Dr. E,, Bradenton, Florida. You can contact this provider via phone number 9417761777 and fax number 9417762812. The mailing address for John Louis Vertich is 9114 58th Dr. E,, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John Louis Vertich
Address 9114 58th Dr. E,, Bradenton, Florida
Phone Number 9417761777
Fax Number 9417762812
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1003981937
Provider Enumeration Date 2006-11-24
Last Updated Date 2014-09-17

Provider Mailing Address Detail

Address 9114 58th Dr. E,
City Bradenton
State Florida (FL)
Post Code 34202
Phone Number 9417761777
Fax Number 9417762812

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW 7325
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
767931900 FL --

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FAQs about John Louis Vertich

What is the unique provider identifier assigned to John Louis Vertich?

The John Louis Vertich has been issued the NPI (National Provider Identifier) 1003981937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where John Louis Vertich's facilities are situated?

The facilities of John Louis Vertich are physically located at the following address: 9114 58Th Dr. E,, Bradenton, FL, 34202.

What is John Louis Vertich's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Louis Vertich's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1003981937 to John Louis Vertich?

The Centers for Medicare & Medicaid Services assigned the 1003981937 to John Louis Vertich on 2006-11-24.

As of what date were the details related to John Louis Vertich most recently updated or revised?

The information pertaining to John Louis Vertich, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-17.

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