G Darlene Radcliff in Mishawaka - Clinical

G Darlene Radcliff - NPI 1053482646

G Darlene Radcliff is a Clinical in Mishawaka, Indiana. G Darlene Radcliff practices all healthcare services and medical treatments related to Clinical. The NPI Number for G Darlene Radcliff is 1053482646. The last update date is 2008-01-19.

G Darlene Radcliff's current location address is 113 Lincoln Way East, Mishawaka, Indiana. You can contact this provider via phone number 5742554976 and fax number 5742551882. The mailing address for G Darlene Radcliff is 113 Lincoln Way East, Mishawaka, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name G Darlene Radcliff
Address 113 Lincoln Way East, Mishawaka, Indiana
Phone Number 5742554976
Fax Number 5742551882
Sole Proprietor N
Credentials MSW LCSW

NPI Number Detail

NPI Number 1053482646
Provider Enumeration Date 2006-11-13
Last Updated Date 2008-01-19

Provider Mailing Address Detail

Address 113 Lincoln Way East
City Mishawaka
State Indiana (IN)
Post Code 465442016
Phone Number 5742554976
Fax Number 5742551882

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34005241A
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
341228 IN ANTHEM

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FAQs about G Darlene Radcliff

What is the unique identification code assigned to G Darlene Radcliff by the Centers for Medicare & Medicaid Services?

The G Darlene Radcliff has been issued the NPI (National Provider Identifier) 1053482646. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where G Darlene Radcliff's facilities are situated?

The facilities of G Darlene Radcliff are physically located at the following address: 113 Lincoln Way East, Mishawaka, IN, 465442016.

What is G Darlene Radcliff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for G Darlene Radcliff is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053482646 to G Darlene Radcliff?

The Centers for Medicare & Medicaid Services assigned the 1053482646 to G Darlene Radcliff on 2006-11-13.

As of what date was the information regarding G Darlene Radcliff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to G Darlene Radcliff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-19.

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