Ken R Yoder is a Clinical in Goshen, Indiana. Ken R Yoder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ken R Yoder is 1104866920. The last update date is 2011-08-08.
Ken R Yoder's current location address is 330 Lakeview Dr, Goshen, Indiana. You can contact this provider via phone number 5745331234. The mailing address for Ken R Yoder is 330 Lakeview Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken R Yoder |
|---|---|
| Address | 330 Lakeview Dr, Goshen, Indiana |
| Phone Number | 5745331234 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104866920 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2011-08-08 |
Provider Mailing Address Detail
| Address | 330 Lakeview Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465289365 |
| Phone Number | 5745331234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000514A |
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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 |
|---|---|---|---|
| 202049 | ANTHEM | ||
| P00102953 | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ken R Yoder by the Centers for Medicare & Medicaid Services?
The Ken R Yoder has been issued the NPI (National Provider Identifier) 1104866920 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ken R Yoder's physical address?
The Ken R Yoder is physically located at 330 Lakeview Dr, in the city of Goshen, IN, with the postal code 465289365.
What is Ken R Yoder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ken R Yoder is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104866920 to Ken R Yoder?
The Centers for Medicare & Medicaid Services originally issued the 1104866920 to Ken R Yoder on 2006-06-08.
When was the information pertaining to Ken R Yoder most recently updated or revised?
The details related to Ken R Yoder, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-08.