Tracy M Bodford is a Clinical in Jacksonville, Florida. Tracy M Bodford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy M Bodford is 1679736011. The last update date is 2020-10-12.
Tracy M Bodford's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Tracy M Bodford is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracy M Bodford |
---|---|
Address | 4500 San Pablo Rd S, Jacksonville, Florida |
Phone Number | 9049532000 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1679736011 |
---|---|
Provider Enumeration Date | 2008-07-07 |
Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
Address | 4500 San Pablo Rd S |
---|---|
City | Jacksonville |
State | Florida (FL) |
Post Code | 322241865 |
Phone Number | 9049532000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | SW15499 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy M Bodford by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy M Bodford has been assigned the NPI (National Provider Identifier) 1679736011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Tracy M Bodford's physical address?
The Tracy M Bodford is physically located at 4500 San Pablo Rd S, in the city of Jacksonville, FL, with the postal code 322241865.
What is Tracy M Bodford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy M Bodford'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 Tracy M Bodford receive its 1679736011 assignment from the Centers for Medicare & Medicaid Services?
The Tracy M Bodford was assigned its 1679736011 by the Centers for Medicare & Medicaid Services on 2008-07-07.
When was the information related to Tracy M Bodford most recently updated or refreshed?
The details pertaining to the Tracy M Bodford, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY