Kelly J. Crow is a Clinical in Eglin Afb, Florida. Kelly J. Crow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly J. Crow is 1174650410. The last update date is 2015-12-17.
Kelly J. Crow's current location address is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can contact this provider via phone number 8508838374. The mailing address for Kelly J. Crow is 307 Boatner Rd Ste 114, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly J. Crow |
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Address | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
Phone Number | 8508838374 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1174650410 |
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Provider Enumeration Date | 2007-02-27 |
Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
Address | 307 Boatner Rd Ste 114 |
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City | Eglin Afb |
State | Florida (FL) |
Post Code | 325421302 |
Phone Number | 8508838374 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1641-C |
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 identifier code assigned to Kelly J. Crow by the Centers for Medicare & Medicaid Services?
The Kelly J. Crow has been issued the NPI (National Provider Identifier) 1174650410 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelly J. Crow's facilities are situated?
The facilities of Kelly J. Crow are physically located at the following address: 307 Boatner Rd Ste 114, Eglin Afb, FL, 325421302.
What is the Kelly J. Crow's specialty and taxonomy code?
The Kelly J. Crow's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Kelly J. Crow receive its 1174650410 assignment from the Centers for Medicare & Medicaid Services?
The Kelly J. Crow was assigned its 1174650410 on 2007-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kelly J. Crow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly J. Crow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-17.