Chris Alan Miciotto in Shreveport - Clinical
Chris Alan Miciotto - NPI 1730212648
Chris Alan Miciotto is a Clinical in Shreveport, Louisiana. Chris Alan Miciotto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chris Alan Miciotto is 1730212648. The last update date is 2007-07-08.
Chris Alan Miciotto's current location address is 7505 Camelback Dr, Shreveport, Louisiana. You can contact this provider via phone number 3185180621. The mailing address for Chris Alan Miciotto is 7505 Camelback Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Alan Miciotto |
|---|---|
| Address | 7505 Camelback Dr, Shreveport, Louisiana |
| Phone Number | 3185180621 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW LCSW A |
NPI Number Detail
| NPI Number | 1730212648 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7505 Camelback Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055412 |
| Phone Number | 3185180621 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2914 |
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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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What is the unique 10-digit identification code issued to Chris Alan Miciotto by the Centers for Medicare & Medicaid Services?
The Chris Alan Miciotto has been assigned the NPI (National Provider Identifier) 1730212648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Chris Alan Miciotto is physically located?
The Chris Alan Miciotto is situated at the following address: 7505 Camelback Dr, Shreveport, LA 711055412.
What is Chris Alan Miciotto's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chris Alan Miciotto is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Chris Alan Miciotto receive its 1730212648 assignment from the Centers for Medicare & Medicaid Services?
The Chris Alan Miciotto was assigned its 1730212648 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Chris Alan Miciotto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Chris Alan Miciotto, 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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