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
Address 510 E Stoner Ave, Shreveport, Louisiana
Phone Number 3182218411
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1386832574
Provider Enumeration Date 2007-10-12
Last Updated Date 2023-10-10

Provider Mailing Address Detail

Address 510 E Stoner Ave
City Shreveport
State Louisiana (LA)
Post Code 711014243
Phone Number 3182218411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Brian O Whitehead

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.

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