Walt Hersing is a Clinical in Palm Bay, Florida. Walt Hersing practices all healthcare services and medical treatments related to Clinical. The NPI Number for Walt Hersing is 1770512808. The last update date is 2007-07-08.
Walt Hersing's current location address is 2123 Franklin Dr Ne, Palm Bay, Florida. You can contact this provider via phone number 3217241614 and fax number 3217223590. The mailing address for Walt Hersing is 2123 Franklin Dr Ne, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Walt Hersing |
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Address | 2123 Franklin Dr Ne, Palm Bay, Florida |
Phone Number | 3217241614 |
Fax Number | 3217223590 |
Sole Proprietor | N |
Credentials | L.C.S.W. |
NPI Number Detail
NPI Number | 1770512808 |
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Provider Enumeration Date | 2006-07-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2123 Franklin Dr Ne |
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City | Palm Bay |
State | Florida (FL) |
Post Code | 329054022 |
Phone Number | 3217241614 |
Fax Number | 3217223590 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | SW0003317 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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Z6179Z | FL | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Walt Hersing by the Centers for Medicare & Medicaid Services?
The Walt Hersing has been assigned the NPI (National Provider Identifier) 1770512808. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Walt Hersing?
The Walt Hersing is situated at 2123 Franklin Dr Ne, in the city of Palm Bay, state of FL, with the zip code 329054022.
What is Walt Hersing's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walt Hersing is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770512808 to Walt Hersing?
The Centers for Medicare & Medicaid Services assigned the 1770512808 to Walt Hersing on 2006-07-01.
When was the information regarding Walt Hersing most recently updated?
The details pertaining to the Walt Hersing, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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