Kaylene Bobi Hackworth in Pocatello - Clinical
Kaylene Bobi Hackworth - NPI 1578599049
Kaylene Bobi Hackworth is a Clinical in Pocatello, Idaho. Kaylene Bobi Hackworth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kaylene Bobi Hackworth is 1578599049. The last update date is 2007-07-08.
Kaylene Bobi Hackworth's current location address is 947 Rocky Point Rd, Pocatello, Idaho. You can contact this provider via phone number 2082322239. The mailing address for Kaylene Bobi Hackworth is 947 Rocky Point Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kaylene Bobi Hackworth |
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Address | 947 Rocky Point Rd, Pocatello, Idaho |
Phone Number | 2082322239 |
Fax Number | |
Sole Proprietor | X |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1578599049 |
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Provider Enumeration Date | 2006-06-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 947 Rocky Point Rd |
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City | Pocatello |
State | Idaho (ID) |
Post Code | 832044811 |
Phone Number | 2082322239 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-719 |
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 identifier code issued to Kaylene Bobi Hackworth by the Centers for Medicare & Medicaid Services?
The Kaylene Bobi Hackworth has been assigned the NPI (National Provider Identifier) 1578599049. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kaylene Bobi Hackworth is physically located?
The Kaylene Bobi Hackworth is situated at the following address: 947 Rocky Point Rd, Pocatello, ID 832044811.
What is the area of specialization for Kaylene Bobi Hackworth, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kaylene Bobi Hackworth is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Kaylene Bobi Hackworth receive the assignment of its 1578599049 from the Centers for Medicare & Medicaid Services?
The Kaylene Bobi Hackworth was issued its 1578599049 by the Centers for Medicare & Medicaid Services on 2006-06-24.
When was the Kaylene Bobi Hackworth's information last updated?
The Kaylene Bobi Hackworth's information was last updated on 2007-07-08.