Tracy Monique Wathen in Elizabethtown - Clinical
Tracy Monique Wathen - NPI 1861535635
Tracy Monique Wathen is a Clinical in Elizabethtown, Kentucky. Tracy Monique Wathen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Monique Wathen is 1861535635. The last update date is 2016-08-19.
Tracy Monique Wathen's current location address is 107 Cranes Roost Ct, Elizabethtown, Kentucky. You can contact this provider via phone number 2707652605 and fax number 2702348572. The mailing address for Tracy Monique Wathen is 107 Cranes Roost Ct, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Monique Wathen |
|---|---|
| Address | 107 Cranes Roost Ct, Elizabethtown, Kentucky |
| Phone Number | 2707652605 |
| Fax Number | 2702348572 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861535635 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2016-08-19 |
Provider Mailing Address Detail
| Address | 107 Cranes Roost Ct |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427013650 |
| Phone Number | 2707652605 |
| Fax Number | 2702348572 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 252190 |
|
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 |
|---|---|---|---|
| 30605018 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracy Monique Wathen by the Centers for Medicare & Medicaid Services?
The Tracy Monique Wathen has been assigned the NPI (National Provider Identifier) 1861535635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Tracy Monique Wathen is located?
The Tracy Monique Wathen is situated at the following address: 107 Cranes Roost Ct, Elizabethtown, KY, 427013650.
What is Tracy Monique Wathen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy Monique Wathen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Tracy Monique Wathen receive its 1861535635 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Monique Wathen was assigned its 1861535635 on 2007-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracy Monique Wathen last refreshed?
The information related to the Tracy Monique Wathen, including its address, specialty, and other relevant details, was last updated on 2016-08-19.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY