Jane Burgess Wallen in Louisa - Clinical
Jane Burgess Wallen - NPI 1245258383
Jane Burgess Wallen is a Clinical in Louisa, Kentucky. Jane Burgess Wallen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane Burgess Wallen is 1245258383. The last update date is 2014-11-07.
Jane Burgess Wallen's current location address is 60 Professional Park Dr, Louisa, Kentucky. You can contact this provider via phone number 6066384332 and fax number 6066384394. The mailing address for Jane Burgess Wallen is 60 Professional Park Dr, Louisa, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Burgess Wallen |
|---|---|
| Address | 60 Professional Park Dr, Louisa, Kentucky |
| Phone Number | 6066384332 |
| Fax Number | 6066384394 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1245258383 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2014-11-07 |
Provider Mailing Address Detail
| Address | 60 Professional Park Dr |
|---|---|
| City | Louisa |
| State | Kentucky (KY) |
| Post Code | 412309644 |
| Phone Number | 6066384332 |
| Fax Number | 6066384394 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | KY-1263 |
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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 |
|---|---|---|---|
| 1723358 | MSBCBS | ||
| 7100282900 | KY | -- | |
| 610661987 | CORPHEALTH | ||
| 1175490 | CHA | ||
| 207306 | KY | ANTHEM BCBS | |
| 11491126 | CAQH # | ||
| 279403 | MANAGED HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Jane Burgess Wallen by the Centers for Medicare & Medicaid Services?
The Jane Burgess Wallen has been assigned the NPI (National Provider Identifier) 1245258383. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jane Burgess Wallen is physically located?
The Jane Burgess Wallen is situated at the following address: 60 Professional Park Dr, Louisa, KY 412309644.
What is the area of specialization for Jane Burgess Wallen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jane Burgess Wallen is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245258383 to Jane Burgess Wallen?
The Jane Burgess Wallen received its 1245258383 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details related to Jane Burgess Wallen most recently updated or revised?
The information pertaining to Jane Burgess Wallen, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-07.