Calvin Douglas Whitehead in Valdosta - Clinical
Calvin Douglas Whitehead - NPI 1134327927
Calvin Douglas Whitehead is a Clinical in Valdosta, Georgia. Calvin Douglas Whitehead practices all healthcare services and medical treatments related to Clinical. The NPI Number for Calvin Douglas Whitehead is 1134327927. The last update date is 2011-04-19.
Calvin Douglas Whitehead's current location address is 2411 Patrick Pl, Valdosta, Georgia. You can contact this provider via phone number 3138061847. The mailing address for Calvin Douglas Whitehead is 2411 Patrick Pl, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Calvin Douglas Whitehead |
|---|---|
| Address | 2411 Patrick Pl, Valdosta, Georgia |
| Phone Number | 3138061847 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134327927 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2011-04-19 |
Provider Mailing Address Detail
| Address | 2411 Patrick Pl |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316017937 |
| Phone Number | 3138061847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW004356 |
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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 |
|---|---|---|---|
| CSW004356 | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Calvin Douglas Whitehead by the Centers for Medicare & Medicaid Services?
The Calvin Douglas Whitehead has been issued the NPI (National Provider Identifier) 1134327927, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Calvin Douglas Whitehead?
The Calvin Douglas Whitehead is physically situated at 2411 Patrick Pl, in the city of Valdosta, state of GA, with the postal code 316017937.
What is Calvin Douglas Whitehead's specialized field of practice, and what is the corresponding taxonomy classification code?
The Calvin Douglas Whitehead's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Calvin Douglas Whitehead receive its 1134327927 assignment from the Centers for Medicare & Medicaid Services?
The Calvin Douglas Whitehead was assigned its 1134327927 by the Centers for Medicare & Medicaid Services on 2007-07-03.
When was the information regarding Calvin Douglas Whitehead most recently updated?
The details pertaining to the Calvin Douglas Whitehead, including its address, specialty, and other relevant information, were last refreshed on 2011-04-19.