Phillip A. Wilburn in Merrillville - Clinical
Phillip A. Wilburn - NPI 1720005440
Phillip A. Wilburn is a Clinical in Merrillville, Indiana. Phillip A. Wilburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phillip A. Wilburn is 1720005440. The last update date is 2011-12-10.
Phillip A. Wilburn's current location address is 3938 W 78th Ct, Merrillville, Indiana. You can contact this provider via phone number 2193815648 and fax number 2197362998. The mailing address for Phillip A. Wilburn is 3938 W 78th Ct, Merrillville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip A. Wilburn |
|---|---|
| Address | 3938 W 78th Ct, Merrillville, Indiana |
| Phone Number | 2193815648 |
| Fax Number | 2197362998 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720005440 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-12-10 |
Provider Mailing Address Detail
| Address | 3938 W 78th Ct |
|---|---|
| City | Merrillville |
| State | Indiana (IN) |
| Post Code | 464108705 |
| Phone Number | 2193815648 |
| Fax Number | 2197362998 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001917A |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Phillip A. Wilburn by the Centers for Medicare & Medicaid Services (CMS)?
The Phillip A. Wilburn has been assigned the NPI (National Provider Identifier) 1720005440. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Phillip A. Wilburn?
The Phillip A. Wilburn is physically situated at 3938 W 78Th Ct, in the city of Merrillville, state of IN, with the postal code 464108705.
What is the Phillip A. Wilburn's specialty and taxonomy code?
The Phillip A. Wilburn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Phillip A. Wilburn receive its 1720005440?
The Phillip A. Wilburn was issued its 1720005440 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Phillip A. Wilburn most recently updated or revised?
The details related to Phillip A. Wilburn, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-10.