Tracy M Riley is a Clinical in Jacksonville, Florida. Tracy M Riley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy M Riley is 1679762553. The last update date is 2018-07-23.
Tracy M Riley's current location address is 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, Florida. You can contact this provider via phone number 9047042527. The mailing address for Tracy M Riley is 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy M Riley |
|---|---|
| Address | 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, Florida |
| Phone Number | 9047042527 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679762553 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2018-07-23 |
Provider Mailing Address Detail
| Address | 10151 Deerwood Park Blvd Ste 200-250 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322560589 |
| Phone Number | 9047042527 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW 4412 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8697300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracy M Riley by the Centers for Medicare & Medicaid Services?
The Tracy M Riley has been issued the NPI (National Provider Identifier) 1679762553 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tracy M Riley?
The Tracy M Riley is physically situated at 10151 Deerwood Park Blvd Ste 200-250, in the city of Jacksonville, state of FL, with the postal code 322560589.
What is the area of specialization for Tracy M Riley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracy M Riley is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Tracy M Riley receive its 1679762553 assignment?
The Tracy M Riley was assigned its 1679762553 on 2007-10-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Tracy M Riley most recently updated or revised?
The details related to Tracy M Riley, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-23.
NPI Number: 1346246931
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