Keith Edward Wheeler in Fort Stewart - Clinical
Keith Edward Wheeler - NPI 1063402915
Keith Edward Wheeler is a Clinical in Fort Stewart, Georgia. Keith Edward Wheeler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Edward Wheeler is 1063402915. The last update date is 2010-09-15.
Keith Edward Wheeler's current location address is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. You can contact this provider via phone number 9123156730. The mailing address for Keith Edward Wheeler is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Edward Wheeler |
|---|---|
| Address | 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia |
| Phone Number | 9123156730 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063402915 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2010-09-15 |
Provider Mailing Address Detail
| Address | 1061 Harmon Ave Ste 1d03 |
|---|---|
| City | Fort Stewart |
| State | Georgia (GA) |
| Post Code | 313145641 |
| Phone Number | 9123156730 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003035 |
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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 Keith Edward Wheeler's unique identification number?
The Keith Edward Wheeler has been assigned the NPI (National Provider Identifier) Number 1063402915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Keith Edward Wheeler's facilities are situated?
The facilities of Keith Edward Wheeler are physically located at the following address: 1061 Harmon Ave Ste 1D03, Fort Stewart, GA, 313145641.
What is the Keith Edward Wheeler's area of specialization and corresponding taxonomy classification?
The Keith Edward Wheeler's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Keith Edward Wheeler receive its 1063402915 assignment?
The Keith Edward Wheeler was assigned its 1063402915 on 2005-10-24, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Keith Edward Wheeler most recently updated or revised?
The details related to Keith Edward Wheeler, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-15.
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