Forrest Stewart Yanke in Panama City - Clinical

Forrest Stewart Yanke - NPI 1346304177

Forrest Stewart Yanke is a Clinical in Panama City, Florida. Forrest Stewart Yanke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Forrest Stewart Yanke is 1346304177. The last update date is 2007-07-09.

Forrest Stewart Yanke's current location address is 1103 Fortune Ave, Panama City, Florida. You can contact this provider via phone number 8507696188 and fax number 8507691261. The mailing address for Forrest Stewart Yanke is 1103 Fortune Ave, Panama City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Forrest Stewart Yanke
Address 1103 Fortune Ave, Panama City, Florida
Phone Number 8507696188
Fax Number 8507691261
Sole Proprietor Y
Credentials LMFT, LCSW

NPI Number Detail

NPI Number 1346304177
Provider Enumeration Date 2006-12-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1103 Fortune Ave
City Panama City
State Florida (FL)
Post Code 324011831
Phone Number 8507696188
Fax Number 8507691261

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW368
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
Z1199 FL BLUE CROSS BLUE SHIELD

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FAQs about Forrest Stewart Yanke

What is the unique identifier code issued to Forrest Stewart Yanke by the Centers for Medicare & Medicaid Services (CMS)?

The Forrest Stewart Yanke has been assigned the NPI (National Provider Identifier) 1346304177. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Forrest Stewart Yanke is physically located?

The Forrest Stewart Yanke is physically situated at the following address: 1103 Fortune Ave, Panama City, FL, 324011831.

What is the Forrest Stewart Yanke's specialty and taxonomy code?

The Forrest Stewart Yanke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When did the Forrest Stewart Yanke receive its 1346304177?

The Forrest Stewart Yanke was issued its 1346304177 on 2006-12-19, which is the date when the organization was assigned this unique identifier.

When was the information related to Forrest Stewart Yanke most recently updated or refreshed?

The details pertaining to the Forrest Stewart Yanke, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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