Wade Gregory Anderson in Palm Harbor - Clinical
Wade Gregory Anderson - NPI 1154408243
Wade Gregory Anderson is a Clinical in Palm Harbor, Florida. Wade Gregory Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wade Gregory Anderson is 1154408243. The last update date is 2007-07-08.
Wade Gregory Anderson's current location address is 1713 Eagle Trace Blvd, Palm Harbor, Florida. You can contact this provider via phone number 7274925608 and fax number 7277842209. The mailing address for Wade Gregory Anderson is 1713 Eagle Trace Blvd, Palm Harbor, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Gregory Anderson |
|---|---|
| Address | 1713 Eagle Trace Blvd, Palm Harbor, Florida |
| Phone Number | 7274925608 |
| Fax Number | 7277842209 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1154408243 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1713 Eagle Trace Blvd |
|---|---|
| City | Palm Harbor |
| State | Florida (FL) |
| Post Code | 346853313 |
| Phone Number | 7274925608 |
| Fax Number | 7277842209 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 6185 |
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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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What is the unique 10-digit identification code assigned to Wade Gregory Anderson by the Centers for Medicare & Medicaid Services?
The Wade Gregory Anderson has been issued the NPI (National Provider Identifier) 1154408243, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wade Gregory Anderson?
The Wade Gregory Anderson is situated at 1713 Eagle Trace Blvd, in the city of Palm Harbor, state of FL, with the zip code 346853313.
What is Wade Gregory Anderson's area of expertise and its corresponding taxonomy classification?
The Wade Gregory Anderson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1154408243 assigned to Wade Gregory Anderson?
The Wade Gregory Anderson was issued its 1154408243 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wade Gregory Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wade Gregory Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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