Tracy Lee Earle in Maitland - Clinical

Tracy Lee Earle - NPI 1053597187

Tracy Lee Earle is a Clinical in Maitland, Florida. Tracy Lee Earle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Lee Earle is 1053597187. The last update date is 2015-11-10.

Tracy Lee Earle's current location address is 1009 Maitland Center Commons Blvd, Maitland, Florida. You can contact this provider via phone number 8008409528 and fax number 4075409552. The mailing address for Tracy Lee Earle is 1009 Maitland Center Commons Blvd, Maitland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Lee Earle
Address 1009 Maitland Center Commons Blvd, Maitland, Florida
Phone Number 8008409528
Fax Number 4075409552
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1053597187
Provider Enumeration Date 2008-01-18
Last Updated Date 2015-11-10

Provider Mailing Address Detail

Address 1009 Maitland Center Commons Blvd
City Maitland
State Florida (FL)
Post Code 327517270
Phone Number 8008409528
Fax Number 4075409552

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW7778
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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FAQs about Tracy Lee Earle

What is the Tracy Lee Earle's 1053597187?

The Tracy Lee Earle's NPI (National Provider Identifier) Number is 1053597187. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tracy Lee Earle's facilities are situated?

The facilities of Tracy Lee Earle are physically located at the following address: 1009 Maitland Center Commons Blvd, Maitland, FL, 327517270.

What is Tracy Lee Earle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracy Lee Earle is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did Tracy Lee Earle receive its 1053597187 assignment from the Centers for Medicare & Medicaid Services?

The Tracy Lee Earle was assigned its 1053597187 on 2008-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tracy Lee Earle, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tracy Lee Earle, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-10.

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