Rebecca Yancey Waggaman in Meridian - Clinical

Rebecca Yancey Waggaman - NPI 1821140898

Rebecca Yancey Waggaman is a Clinical in Meridian, Idaho. Rebecca Yancey Waggaman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rebecca Yancey Waggaman is 1821140898. The last update date is 2016-11-01.

Rebecca Yancey Waggaman's current location address is Po Box 1603, Meridian, Idaho. You can contact this provider via phone number 2088072877 and fax number 2088072888. The mailing address for Rebecca Yancey Waggaman is Po Box 1603, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca Yancey Waggaman
Address Po Box 1603, Meridian, Idaho
Phone Number 2088072877
Fax Number 2088072888
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1821140898
Provider Enumeration Date 2007-01-18
Last Updated Date 2016-11-01

Provider Mailing Address Detail

Address Po Box 1603
City Meridian
State Idaho (ID)
Post Code 836801603
Phone Number 2088072877
Fax Number 2088072888

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCSW1169
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10135718 ID REGENCE BLUE SHIELD
L1831 ID BLUE CROSS OF ID

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FAQs about Rebecca Yancey Waggaman

What is the unique identifier code issued to Rebecca Yancey Waggaman by the Centers for Medicare & Medicaid Services (CMS)?

The Rebecca Yancey Waggaman has been assigned the NPI (National Provider Identifier) 1821140898. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Rebecca Yancey Waggaman's physical address?

The Rebecca Yancey Waggaman is physically located at Po Box 1603, in the city of Meridian, ID, with the postal code 836801603.

What is Rebecca Yancey Waggaman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rebecca Yancey Waggaman is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

When did Rebecca Yancey Waggaman receive its 1821140898 assignment?

The Rebecca Yancey Waggaman was assigned its 1821140898 on 2007-01-18, which is the date when this unique identifier was issued to the organization.

As of what date were the Rebecca Yancey Waggaman's details last updated?

The information pertaining to the Rebecca Yancey Waggaman, including its address, specialty, and other details, was most recently updated on 2016-11-01.

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