Tracy Jewell Elam in West Liberty - Clinical
Tracy Jewell Elam - NPI 1699957704
Tracy Jewell Elam is a Clinical in West Liberty, Kentucky. Tracy Jewell Elam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Jewell Elam is 1699957704. The last update date is 2020-11-02.
Tracy Jewell Elam's current location address is 905 Main St, West Liberty, Kentucky. You can contact this provider via phone number 6067434808 and fax number 6067434716. The mailing address for Tracy Jewell Elam is 905 Main St, West Liberty, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Jewell Elam |
|---|---|
| Address | 905 Main St, West Liberty, Kentucky |
| Phone Number | 6067434808 |
| Fax Number | 6067434716 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699957704 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
| Address | 905 Main St |
|---|---|
| City | West Liberty |
| State | Kentucky (KY) |
| Post Code | 414721023 |
| Phone Number | 6067434808 |
| Fax Number | 6067434716 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 252244 |
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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 |
|---|---|---|---|
| 252244 | KY | LCSW LICENSURE | |
| 7100499630 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tracy Jewell Elam by the Centers for Medicare & Medicaid Services?
The Tracy Jewell Elam has been assigned the NPI (National Provider Identifier) 1699957704 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy Jewell Elam is located?
The Tracy Jewell Elam is situated at the following address: 905 Main St, West Liberty, KY, 414721023.
What is Tracy Jewell Elam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy Jewell Elam's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1699957704 assigned to Tracy Jewell Elam?
The Tracy Jewell Elam was issued its 1699957704 on 2007-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tracy Jewell Elam most recently updated or revised?
The details related to Tracy Jewell Elam, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-02.
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