Lori Throckmorton is a Clinical in Boise, Idaho. Lori Throckmorton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori Throckmorton is 1497974174. The last update date is 2007-07-08.
Lori Throckmorton's current location address is 13647 W Annabrook Dr, Boise, Idaho. You can contact this provider via phone number 2084128048 and fax number 2086586299. The mailing address for Lori Throckmorton is 13647 W Annabrook Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lori Throckmorton |
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Address | 13647 W Annabrook Dr, Boise, Idaho |
Phone Number | 2084128048 |
Fax Number | 2086586299 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1497974174 |
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Provider Enumeration Date | 2007-04-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13647 W Annabrook Dr |
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City | Boise |
State | Idaho (ID) |
Post Code | 837131627 |
Phone Number | 2084128048 |
Fax Number | 2086586299 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-25100 |
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 unique 10-digit identifier code assigned to Lori Throckmorton by the Centers for Medicare & Medicaid Services?
The Lori Throckmorton has been issued the NPI (National Provider Identifier) 1497974174 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Lori Throckmorton is geographically located?
The Lori Throckmorton is physically situated at the following location: 13647 W Annabrook Dr, Boise, ID, 837131627.
What is the Lori Throckmorton's area of specialization and corresponding taxonomy classification?
The Lori Throckmorton's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497974174 to Lori Throckmorton?
The Centers for Medicare & Medicaid Services originally issued the 1497974174 to Lori Throckmorton on 2007-04-24.
As of what date were the details pertaining to Lori Throckmorton last refreshed?
The information related to the Lori Throckmorton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.