Brian O Whitehead in Shreveport - Clinical
Brian O Whitehead - NPI 1386832574
Brian O Whitehead is a Clinical in Shreveport, Louisiana. Brian O Whitehead practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian O Whitehead is 1386832574. The last update date is 2023-10-10.
Brian O Whitehead's current location address is 510 E Stoner Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182218411. The mailing address for Brian O Whitehead is 510 E Stoner Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian O Whitehead |
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Address | 510 E Stoner Ave, Shreveport, Louisiana |
Phone Number | 3182218411 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1386832574 |
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Provider Enumeration Date | 2007-10-12 |
Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
Address | 510 E Stoner Ave |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711014243 |
Phone Number | 3182218411 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 10698 |
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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What is the Brian O Whitehead's unique identification number?
The Brian O Whitehead has been assigned the NPI (National Provider Identifier) Number 1386832574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Brian O Whitehead's facilities are geographically located?
The facilities of Brian O Whitehead are physically situated at the following location: 510 E Stoner Ave, Shreveport, LA, 711014243.
What is Brian O Whitehead'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 Brian O Whitehead is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Brian O Whitehead receive the assignment of its 1386832574 from the Centers for Medicare & Medicaid Services?
The Brian O Whitehead was issued its 1386832574 by the Centers for Medicare & Medicaid Services on 2007-10-12.
As of what date were the Brian O Whitehead's details last updated?
The information pertaining to the Brian O Whitehead, including its address, specialty, and other details, was most recently updated on 2023-10-10.