Kevin Ricks Stevenson in Fort Stewart - Clinical

Kevin Ricks Stevenson - NPI 1285724666

Kevin Ricks Stevenson is a Clinical in Fort Stewart, Georgia. Kevin Ricks Stevenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Ricks Stevenson is 1285724666. The last update date is 2010-09-09.

Kevin Ricks Stevenson's current location address is 1061 Harmon Avenue Building, Fort Stewart, Georgia. You can contact this provider via phone number 9124356779. The mailing address for Kevin Ricks Stevenson is 1061 Harmon Avenue Building, Fort Stewart, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Ricks Stevenson
Address 1061 Harmon Avenue Building, Fort Stewart, Georgia
Phone Number 9124356779
Fax Number
Sole Proprietor N
Credentials LMSW-C, BC

NPI Number Detail

NPI Number 1285724666
Provider Enumeration Date 2006-10-13
Last Updated Date 2010-09-09

Provider Mailing Address Detail

Address 1061 Harmon Avenue Building
City Fort Stewart
State Georgia (GA)
Post Code 313145674
Phone Number 9124356779
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801080549
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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FAQs about Kevin Ricks Stevenson

What is the Kevin Ricks Stevenson's unique identification number?

The Kevin Ricks Stevenson has been assigned the NPI (National Provider Identifier) Number 1285724666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kevin Ricks Stevenson's facilities are geographically located?

The facilities of Kevin Ricks Stevenson are physically situated at the following location: 1061 Harmon Avenue Building, Fort Stewart, GA, 313145674.

What is the area of specialization for Kevin Ricks Stevenson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kevin Ricks Stevenson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1285724666 to Kevin Ricks Stevenson?

The Kevin Ricks Stevenson received its 1285724666 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.

As of what date was the information regarding Kevin Ricks Stevenson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kevin Ricks Stevenson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-09.

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