Sam Lawless is a Clinical in St Augustine, Florida. Sam Lawless practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sam Lawless is 1467441980. The last update date is 2009-01-21.
Sam Lawless's current location address is 1955 Us Highway 1 S, St Augustine, Florida. You can contact this provider via phone number 9042096001 and fax number 9042096002. The mailing address for Sam Lawless is 1955 Us Highway 1 S, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Lawless |
|---|---|
| Address | 1955 Us Highway 1 S, St Augustine, Florida |
| Phone Number | 9042096001 |
| Fax Number | 9042096002 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1467441980 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2009-01-21 |
Provider Mailing Address Detail
| Address | 1955 Us Highway 1 S |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320863708 |
| Phone Number | 9042096001 |
| Fax Number | 9042096002 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW9129 |
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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 |
|---|---|---|---|
| 757217400 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sam Lawless?
The Sam Lawless has been issued the NPI (National Provider Identifier) 1467441980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sam Lawless?
The Sam Lawless is physically situated at 1955 Us Highway 1 S, in the city of St Augustine, state of FL, with the postal code 320863708.
What is the Sam Lawless's area of specialization and corresponding taxonomy classification?
The Sam Lawless's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Sam Lawless receive its 1467441980 assignment?
The Sam Lawless was assigned its 1467441980 on 2005-10-18, which is the date when this unique identifier was issued to the organization.
When was the Sam Lawless's information last updated?
The Sam Lawless's information was last updated on 2009-01-21.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX