Lawrence Carlson Willoughby in Goshen - Clinical
Lawrence Carlson Willoughby - NPI 1063488963
Lawrence Carlson Willoughby is a Clinical in Goshen, Indiana. Lawrence Carlson Willoughby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lawrence Carlson Willoughby is 1063488963. The last update date is 2010-09-28.
Lawrence Carlson Willoughby's current location address is Po Box 809, Goshen, Indiana. You can contact this provider via phone number 5745331234 and fax number 5745372652. The mailing address for Lawrence Carlson Willoughby is Po Box 809, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Carlson Willoughby |
|---|---|
| Address | Po Box 809, Goshen, Indiana |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063488963 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2010-09-28 |
Provider Mailing Address Detail
| Address | Po Box 809 |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465270809 |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34002033A |
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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 Lawrence Carlson Willoughby's 1063488963?
The Lawrence Carlson Willoughby's NPI (National Provider Identifier) Number is 1063488963. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lawrence Carlson Willoughby's facilities are geographically located?
The facilities of Lawrence Carlson Willoughby are physically situated at the following location: Po Box 809, Goshen, IN, 465270809.
What is the area of specialization for Lawrence Carlson Willoughby, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lawrence Carlson Willoughby is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Lawrence Carlson Willoughby receive its 1063488963 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence Carlson Willoughby was assigned its 1063488963 on 2006-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Lawrence Carlson Willoughby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lawrence Carlson Willoughby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-28.