Brenda Tripplett Raney in Ft. Polk - Clinical
Brenda Tripplett Raney - NPI 1962693580
Brenda Tripplett Raney is a Clinical in Ft. Polk, Louisiana. Brenda Tripplett Raney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Tripplett Raney is 1962693580. The last update date is 2007-08-08.
Brenda Tripplett Raney's current location address is 1585 3rd St, Ft. Polk, Louisiana. You can contact this provider via phone number 3375313118. The mailing address for Brenda Tripplett Raney is 1585 3rd St, Ft. Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Tripplett Raney |
|---|---|
| Address | 1585 3rd St, Ft. Polk, Louisiana |
| Phone Number | 3375313118 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962693580 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 1585 3rd St |
|---|---|
| City | Ft. Polk |
| State | Louisiana (LA) |
| Post Code | 71459 |
| Phone Number | 3375313118 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801065544 |
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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 |
|---|---|---|---|
| 6801065544 | MI | SOCIAL WORK LIC |
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What is the unique identification code assigned to Brenda Tripplett Raney by the Centers for Medicare & Medicaid Services?
The Brenda Tripplett Raney has been issued the NPI (National Provider Identifier) 1962693580. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brenda Tripplett Raney's physical address?
The Brenda Tripplett Raney is physically located at 1585 3Rd St, in the city of Ft. Polk, LA, with the postal code 71459.
What is the Brenda Tripplett Raney's specialty and taxonomy code?
The Brenda Tripplett Raney's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Brenda Tripplett Raney's 1962693580 issued?
The Brenda Tripplett Raney's 1962693580 was issued on 2007-08-08.
As of what date were the Brenda Tripplett Raney's details last updated?
The information pertaining to the Brenda Tripplett Raney, including its address, specialty, and other details, was most recently updated on 2007-08-08.