Stacie Larae Weires in West Des Moines - Clinical
Stacie Larae Weires - NPI 1215018593
Stacie Larae Weires is a Clinical in West Des Moines, Iowa. Stacie Larae Weires practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacie Larae Weires is 1215018593. The last update date is 2013-03-15.
Stacie Larae Weires's current location address is 950 Office Park Rd, West Des Moines, Iowa. You can contact this provider via phone number 5152792834 and fax number 5152794168. The mailing address for Stacie Larae Weires is 950 Office Park Rd, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Larae Weires |
|---|---|
| Address | 950 Office Park Rd, West Des Moines, Iowa |
| Phone Number | 5152792834 |
| Fax Number | 5152794168 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215018593 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2013-03-15 |
Provider Mailing Address Detail
| Address | 950 Office Park Rd |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502652549 |
| Phone Number | 5152792834 |
| Fax Number | 5152794168 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5746 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 492664000 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacie Larae Weires by the Centers for Medicare & Medicaid Services?
The Stacie Larae Weires has been issued the NPI (National Provider Identifier) 1215018593, which 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 Stacie Larae Weires's facilities are situated?
The facilities of Stacie Larae Weires are physically located at the following address: 950 Office Park Rd, West Des Moines, IA, 502652549.
What is Stacie Larae Weires's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacie Larae Weires is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Stacie Larae Weires receive the assignment of its 1215018593 from the Centers for Medicare & Medicaid Services?
The Stacie Larae Weires was issued its 1215018593 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details related to Stacie Larae Weires most recently updated or revised?
The information pertaining to Stacie Larae Weires, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-15.
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