Christopher K. Countryman in Indianapolis - Clinical
Christopher K. Countryman - NPI 1417174236
Christopher K. Countryman is a Clinical in Indianapolis, Indiana. Christopher K. Countryman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christopher K. Countryman is 1417174236. The last update date is 2007-07-08.
Christopher K. Countryman's current location address is 4342 N. Park Ave., Indianapolis, Indiana. You can contact this provider via phone number 3174141296. The mailing address for Christopher K. Countryman is 4342 N. Park Ave., Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher K. Countryman |
|---|---|
| Address | 4342 N. Park Ave., Indianapolis, Indiana |
| Phone Number | 3174141296 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417174236 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4342 N. Park Ave. |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46205 |
| Phone Number | 3174141296 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004533A |
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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 Christopher K. Countryman's 1417174236?
The Christopher K. Countryman's NPI (National Provider Identifier) Number is 1417174236. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Christopher K. Countryman located?
The Christopher K. Countryman is located at 4342 N. Park Ave., Indianapolis, IN 46205.
What is Christopher K. Countryman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Christopher K. Countryman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Christopher K. Countryman receive the assignment of its 1417174236 from the Centers for Medicare & Medicaid Services?
The Christopher K. Countryman was issued its 1417174236 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details related to Christopher K. Countryman most recently updated or revised?
The information pertaining to Christopher K. Countryman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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