Kim Maxwell Fish is a Clinical in Fort Wayne, Indiana. Kim Maxwell Fish practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Maxwell Fish is 1093869133. The last update date is 2011-02-25.
Kim Maxwell Fish's current location address is 4903 Coventry Pkwy, Fort Wayne, Indiana. You can contact this provider via phone number 4195596370 and fax number 2604070094. The mailing address for Kim Maxwell Fish is 4903 Coventry Pkwy, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Maxwell Fish |
|---|---|
| Address | 4903 Coventry Pkwy, Fort Wayne, Indiana |
| Phone Number | 4195596370 |
| Fax Number | 2604070094 |
| Sole Proprietor | N |
| Credentials | LCSW, LMHC |
NPI Number Detail
| NPI Number | 1093869133 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2011-02-25 |
Provider Mailing Address Detail
| Address | 4903 Coventry Pkwy |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047133 |
| Phone Number | 4195596370 |
| Fax Number | 2604070094 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I 0800371 |
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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 unique 10-digit identification code assigned to Kim Maxwell Fish by the Centers for Medicare & Medicaid Services?
The Kim Maxwell Fish has been issued the NPI (National Provider Identifier) 1093869133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kim Maxwell Fish's physical address?
The Kim Maxwell Fish is physically located at 4903 Coventry Pkwy, in the city of Fort Wayne, IN, with the postal code 468047133.
What is Kim Maxwell Fish's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim Maxwell Fish's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Kim Maxwell Fish's 1093869133 issued?
The Kim Maxwell Fish's 1093869133 was issued on 2007-01-23.
As of what date was the information pertaining to Kim Maxwell Fish, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim Maxwell Fish, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-25.