John Michael Childress in Fort Campbell - Clinical
John Michael Childress - NPI 1568662781
John Michael Childress is a Clinical in Fort Campbell, Kentucky. John Michael Childress practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Michael Childress is 1568662781. The last update date is 2007-07-25.
John Michael Childress's current location address is Blanchfield Army Community Hospital, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988727 and fax number 2709560180. The mailing address for John Michael Childress is Blanchfield Army Community Hospital, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Childress |
|---|---|
| Address | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
| Phone Number | 2707988727 |
| Fax Number | 2709560180 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568662781 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | Blanchfield Army Community Hospital |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235349 |
| Phone Number | 2707988727 |
| Fax Number | 2709560180 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015017 |
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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 |
|---|---|---|---|
| VAD001 | KY | UPIN |
Post Comment/ Review Below
What is the unique identifier code issued to John Michael Childress by the Centers for Medicare & Medicaid Services (CMS)?
The John Michael Childress has been assigned the NPI (National Provider Identifier) 1568662781. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where John Michael Childress's facilities are situated?
The facilities of John Michael Childress are physically located at the following address: Blanchfield Army Community Hospital, Fort Campbell, KY, 422235349.
What is the John Michael Childress's specialty and taxonomy code?
The John Michael Childress's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did John Michael Childress receive its 1568662781 assignment?
The John Michael Childress was assigned its 1568662781 on 2007-07-25, which is the date when this unique identifier was issued to the organization.
When was the information related to John Michael Childress most recently updated or refreshed?
The details pertaining to the John Michael Childress, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-25.
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