James Kenton Mattox in Marion - Clinical
James Kenton Mattox - NPI 1952509531
James Kenton Mattox is a Clinical in Marion, Illinois. James Kenton Mattox practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Kenton Mattox is 1952509531. The last update date is 2007-07-08.
James Kenton Mattox's current location address is 1410 W Chestnut St, Marion, Illinois. You can contact this provider via phone number 6189972129 and fax number 6189977972. The mailing address for James Kenton Mattox is 1410 W Chestnut St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Kenton Mattox |
|---|---|
| Address | 1410 W Chestnut St, Marion, Illinois |
| Phone Number | 6189972129 |
| Fax Number | 6189977972 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1952509531 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1410 W Chestnut St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591910 |
| Phone Number | 6189972129 |
| Fax Number | 6189977972 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-002548 |
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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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Post Comment/ Review Below
What is the James Kenton Mattox's unique identification number?
The James Kenton Mattox has been assigned the NPI (National Provider Identifier) Number 1952509531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the James Kenton Mattox's physical address?
The James Kenton Mattox is physically located at 1410 W Chestnut St, in the city of Marion, IL, with the postal code 629591910.
What is James Kenton Mattox's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Kenton Mattox is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952509531 to James Kenton Mattox?
The Centers for Medicare & Medicaid Services originally issued the 1952509531 to James Kenton Mattox on 2007-07-05.
When was the information regarding James Kenton Mattox, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Kenton Mattox, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.