Christine Ann Motherwell in Fort Wayne - Clinical
Christine Ann Motherwell - NPI 1730188798
Christine Ann Motherwell is a Clinical in Fort Wayne, Indiana. Christine Ann Motherwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christine Ann Motherwell is 1730188798. The last update date is 2019-12-06.
Christine Ann Motherwell's current location address is 2422 Preston Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2606025612. The mailing address for Christine Ann Motherwell is 2422 Preston Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine Ann Motherwell |
|---|---|
| Address | 2422 Preston Dr, Fort Wayne, Indiana |
| Phone Number | 2606025612 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LMHC, |
NPI Number Detail
| NPI Number | 1730188798 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 2422 Preston Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468156852 |
| Phone Number | 2606025612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004390A |
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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 |
|---|---|---|---|
| 100156770A | IN | -- | |
| 200283190A | IN | -- |
Post Comment/ Review Below
What is the Christine Ann Motherwell's unique identification number?
The Christine Ann Motherwell has been assigned the NPI (National Provider Identifier) Number 1730188798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Christine Ann Motherwell is geographically located?
The Christine Ann Motherwell is physically situated at the following location: 2422 Preston Dr, Fort Wayne, IN, 468156852.
What is the Christine Ann Motherwell's area of specialization and corresponding taxonomy classification?
The Christine Ann Motherwell'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 Christine Ann Motherwell receive its 1730188798 assignment from the Centers for Medicare & Medicaid Services?
The Christine Ann Motherwell was assigned its 1730188798 on 2005-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Christine Ann Motherwell's details last updated?
The information pertaining to the Christine Ann Motherwell, including its address, specialty, and other details, was most recently updated on 2019-12-06.