Phillip V Carracher in Port Charlotte - Clinical
Phillip V Carracher - NPI 1336134717
Phillip V Carracher is a Clinical in Port Charlotte, Florida. Phillip V Carracher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phillip V Carracher is 1336134717. The last update date is 2007-07-08.
Phillip V Carracher's current location address is Po Box 495755, Port Charlotte, Florida. You can contact this provider via phone number 9417669555 and fax number 9417661511. The mailing address for Phillip V Carracher is Po Box 495755, Port Charlotte, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip V Carracher |
|---|---|
| Address | Po Box 495755, Port Charlotte, Florida |
| Phone Number | 9417669555 |
| Fax Number | 9417661511 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1336134717 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 495755 |
|---|---|
| City | Port Charlotte |
| State | Florida (FL) |
| Post Code | 339495755 |
| Phone Number | 9417669555 |
| Fax Number | 9417661511 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5643 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z9367 | FL | BC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phillip V Carracher by the Centers for Medicare & Medicaid Services?
The Phillip V Carracher has been issued the NPI (National Provider Identifier) 1336134717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Phillip V Carracher is located?
The Phillip V Carracher is situated at the following address: Po Box 495755, Port Charlotte, FL, 339495755.
What is the Phillip V Carracher's specialty and taxonomy code?
The Phillip V Carracher's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336134717 to Phillip V Carracher?
The Centers for Medicare & Medicaid Services assigned the 1336134717 to Phillip V Carracher on 2005-09-13.
As of what date was the information regarding Phillip V Carracher, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phillip V Carracher, 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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