Judith V Wall is a Clinical in Stuart, Florida. Judith V Wall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith V Wall is 1619029683. The last update date is 2011-07-06.
Judith V Wall's current location address is 4104 Se Centerboard Lane, Stuart, Florida. You can contact this provider via phone number 7722190779 and fax number 7722217885. The mailing address for Judith V Wall is 4104 Se Centerboard Lane, Stuart, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith V Wall |
|---|---|
| Address | 4104 Se Centerboard Lane, Stuart, Florida |
| Phone Number | 7722190779 |
| Fax Number | 7722217885 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619029683 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2011-07-06 |
Provider Mailing Address Detail
| Address | 4104 Se Centerboard Lane |
|---|---|
| City | Stuart |
| State | Florida (FL) |
| Post Code | 34994 |
| Phone Number | 7722190779 |
| Fax Number | 7722217885 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW3067 |
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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 |
|---|---|---|---|
| 211492500 | FL | -- | |
| 88978 | FL | VALUE OPTIONS | |
| 112262000 | FL | MAGELLAN BEHAVIORAL HEALT |
Post Comment/ Review Below
What is the unique identifier code issued to Judith V Wall by the Centers for Medicare & Medicaid Services?
The Judith V Wall has been assigned the NPI (National Provider Identifier) 1619029683. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Judith V Wall located?
The Judith V Wall is located at 4104 Se Centerboard Lane, Stuart, FL 34994.
What is Judith V Wall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith V Wall is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619029683 to Judith V Wall?
The Judith V Wall received its 1619029683 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information pertaining to Judith V Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Judith V Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-06.