Elizabeth Anna Sage in Fort Knox - Clinical

Elizabeth Anna Sage - NPI 1578538187

Elizabeth Anna Sage is a Clinical in Fort Knox, Kentucky. Elizabeth Anna Sage practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Anna Sage is 1578538187. The last update date is 2007-07-08.

Elizabeth Anna Sage's current location address is 289 Ireland Ave, Fort Knox, Kentucky. You can contact this provider via phone number 5026249007 and fax number 5026249549. The mailing address for Elizabeth Anna Sage is 289 Ireland Ave, Fort Knox, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Anna Sage
Address 289 Ireland Ave, Fort Knox, Kentucky
Phone Number 5026249007
Fax Number 5026249549
Sole Proprietor X
Credentials LICSW,MAC

NPI Number Detail

NPI Number 1578538187
Provider Enumeration Date 2006-02-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 289 Ireland Ave
City Fort Knox
State Kentucky (KY)
Post Code 401215111
Phone Number 5026249007
Fax Number 5026249549

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LW00006723
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
CERTIFICATE 245 NV MASTER ADDICTION COUNSELO
LW00006723 WA SICAL WORK LICENSE

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FAQs about Elizabeth Anna Sage

What is the unique identification code assigned to Elizabeth Anna Sage by the Centers for Medicare & Medicaid Services?

The Elizabeth Anna Sage has been issued the NPI (National Provider Identifier) 1578538187. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Elizabeth Anna Sage is located?

The Elizabeth Anna Sage is situated at the following address: 289 Ireland Ave, Fort Knox, KY, 401215111.

What is Elizabeth Anna Sage's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Elizabeth Anna Sage is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Elizabeth Anna Sage receive its 1578538187 assignment?

The Elizabeth Anna Sage was assigned its 1578538187 on 2006-02-18, which is the date when this unique identifier was issued to the organization.

When was the information regarding Elizabeth Anna Sage, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Elizabeth Anna Sage, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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