Sally A Timmons Llc in Lafayette - Clinical
Sally A Timmons Llc - NPI 1871784330
Sally A Timmons Llc is a Clinical in Lafayette, Indiana. Sally A Timmons Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally A Timmons Llc is 1871784330. The last update date is 2007-11-15.
Sally A Timmons Llc's current location address is 1805 Skyline Rd, Lafayette, Indiana. You can contact this provider via phone number 7654046431 and fax number 7654777843. The mailing address for Sally A Timmons Llc is 1805 Skyline Rd, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sally A Timmons Llc |
---|---|
Address | 1805 Skyline Rd, Lafayette, Indiana |
Phone Number | 7654046431 |
Fax Number | 7654777843 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | REGISTERED |
---|---|
Authorized Official Name | Timmons Ann Sally |
Credentials | LCSW RN |
Telephone Number | 7654046431 |
NPI Number Detail
NPI Number | 1871784330 |
---|---|
Provider Enumeration Date | 2007-08-08 |
Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
Address | 1805 Skyline Rd |
---|---|
City | Lafayette |
State | Indiana (IN) |
Post Code | 47905 |
Phone Number | 7654046431 |
Fax Number | 7654777843 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | 34004910A |
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 |
---|---|---|---|
375779 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Sally A Timmons Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Sally A Timmons Llc has been assigned the NPI (National Provider Identifier) 1871784330. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Sally A Timmons Llc is geographically located?
The Sally A Timmons Llc is physically situated at the following location: 1805 Skyline Rd, Lafayette, IN, 47905.
What is the Sally A Timmons Llc's specialty and taxonomy code?
The Sally A Timmons Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Sally A Timmons Llc receive its 1871784330?
The Sally A Timmons Llc was issued its 1871784330 on 2007-08-08, which is the date when the organization was assigned this unique identifier.
When was the information related to Sally A Timmons Llc most recently updated or refreshed?
The details pertaining to the Sally A Timmons Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.