Van Anthony Fiser in Jacksonville - Clinical
Van Anthony Fiser - NPI 1164442539
Van Anthony Fiser is a Clinical in Jacksonville, Florida. Van Anthony Fiser practices all healthcare services and medical treatments related to Clinical. The NPI Number for Van Anthony Fiser is 1164442539. The last update date is 2007-07-08.
Van Anthony Fiser's current location address is 3810-3 Williamsburg Park Blvd, Jacksonville, Florida. You can contact this provider via phone number 9044199102 and fax number 9047392153. The mailing address for Van Anthony Fiser is 3810-3 Williamsburg Park Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Van Anthony Fiser |
|---|---|
| Address | 3810-3 Williamsburg Park Blvd, Jacksonville, Florida |
| Phone Number | 9044199102 |
| Fax Number | 9047392153 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164442539 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3810-3 Williamsburg Park Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322579220 |
| Phone Number | 9044199102 |
| Fax Number | 9047392153 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW1793 |
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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 |
|---|---|---|---|
| 4232525 | FL | AETNA | |
| Z4246 | FL | BC/BS |
Post Comment/ Review Below
What is the unique identification code assigned to Van Anthony Fiser by the Centers for Medicare & Medicaid Services?
The Van Anthony Fiser has been issued the NPI (National Provider Identifier) 1164442539. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Van Anthony Fiser's facilities are geographically located?
The facilities of Van Anthony Fiser are physically situated at the following location: 3810-3 Williamsburg Park Blvd, Jacksonville, FL, 322579220.
What is Van Anthony Fiser's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Van Anthony Fiser is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164442539 to Van Anthony Fiser?
The Centers for Medicare & Medicaid Services assigned the 1164442539 to Van Anthony Fiser on 2006-07-20.
As of what date were the details pertaining to Van Anthony Fiser last refreshed?
The information related to the Van Anthony Fiser, including its address, specialty, and other relevant details, was last updated on 2007-07-08.