Virginia Ann Nixon in Fort Wayne - Clinical

Virginia Ann Nixon - NPI 1831133792

Virginia Ann Nixon is a Clinical in Fort Wayne, Indiana. Virginia Ann Nixon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Virginia Ann Nixon is 1831133792. The last update date is 2007-07-08.

Virginia Ann Nixon's current location address is 3534 Brooklyn Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604785232 and fax number 2604785125. The mailing address for Virginia Ann Nixon is 3534 Brooklyn Ave, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Virginia Ann Nixon
Address 3534 Brooklyn Ave, Fort Wayne, Indiana
Phone Number 2604785232
Fax Number 2604785125
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1831133792
Provider Enumeration Date 2006-06-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3534 Brooklyn Ave
City Fort Wayne
State Indiana (IN)
Post Code 468091361
Phone Number 2604785232
Fax Number 2604785125

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34002159A
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
182013 VALUE OPTIONS
231169 ANTHEM BLUE CROSS
4353200 AETNA

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FAQs about Virginia Ann Nixon

What is the unique 10-digit identification code assigned to Virginia Ann Nixon by the Centers for Medicare & Medicaid Services?

The Virginia Ann Nixon has been issued the NPI (National Provider Identifier) 1831133792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Virginia Ann Nixon's facilities are geographically located?

The facilities of Virginia Ann Nixon are physically situated at the following location: 3534 Brooklyn Ave, Fort Wayne, IN, 468091361.

What is the area of specialization for Virginia Ann Nixon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Virginia Ann Nixon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date was the 1831133792 assigned to Virginia Ann Nixon?

The Virginia Ann Nixon was issued its 1831133792 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Virginia Ann Nixon most recently updated or revised?

The information pertaining to Virginia Ann Nixon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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