Elizabeth Ann Tickle in Pensacola - Clinical
Elizabeth Ann Tickle - NPI 1124010467
Elizabeth Ann Tickle is a Clinical in Pensacola, Florida. Elizabeth Ann Tickle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Ann Tickle is 1124010467. The last update date is 2007-07-08.
Elizabeth Ann Tickle's current location address is 1221 W Lakeview Ave, Pensacola, Florida. You can contact this provider via phone number 8504693500 and fax number 8505951400. The mailing address for Elizabeth Ann Tickle is 1221 W Lakeview Ave, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Ann Tickle |
|---|---|
| Address | 1221 W Lakeview Ave, Pensacola, Florida |
| Phone Number | 8504693500 |
| Fax Number | 8505951400 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124010467 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1221 W Lakeview Ave |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325011857 |
| Phone Number | 8504693500 |
| Fax Number | 8505951400 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5797 |
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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 identifier code assigned to Elizabeth Ann Tickle by the Centers for Medicare & Medicaid Services?
The Elizabeth Ann Tickle has been issued the NPI (National Provider Identifier) 1124010467 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elizabeth Ann Tickle?
The Elizabeth Ann Tickle is physically situated at 1221 W Lakeview Ave, in the city of Pensacola, state of FL, with the postal code 325011857.
What is Elizabeth Ann Tickle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elizabeth Ann Tickle is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1124010467 assigned to Elizabeth Ann Tickle?
The Elizabeth Ann Tickle was issued its 1124010467 on 2005-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Elizabeth Ann Tickle last refreshed?
The information related to the Elizabeth Ann Tickle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.