Erric Leif Hetzer is a Clinical in Bel Air, Maryland. Erric Leif Hetzer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Erric Leif Hetzer is 1326138157. The last update date is 2015-10-05.
Erric Leif Hetzer's current location address is 336 S Main St, Bel Air, Maryland. You can contact this provider via phone number 4104593441. The mailing address for Erric Leif Hetzer is 336 S Main St, Bel Air, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erric Leif Hetzer |
|---|---|
| Address | 336 S Main St, Bel Air, Maryland |
| Phone Number | 4104593441 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1326138157 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | 336 S Main St |
|---|---|
| City | Bel Air |
| State | Maryland (MD) |
| Post Code | 210143978 |
| Phone Number | 4104593441 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | G11658 |
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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 |
|---|---|---|---|
| S248 | MD | MEDICARE |
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What is the unique 10-digit identification code issued to Erric Leif Hetzer by the Centers for Medicare & Medicaid Services?
The Erric Leif Hetzer has been assigned the NPI (National Provider Identifier) 1326138157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Erric Leif Hetzer?
The Erric Leif Hetzer is situated at 336 S Main St, in the city of Bel Air, state of MD, with the zip code 210143978.
What is the Erric Leif Hetzer's specialty and taxonomy code?
The Erric Leif Hetzer's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Erric Leif Hetzer receive the assignment of its 1326138157 from the Centers for Medicare & Medicaid Services?
The Erric Leif Hetzer was issued its 1326138157 by the Centers for Medicare & Medicaid Services on 2006-10-13.
When was the Erric Leif Hetzer's information last updated?
The Erric Leif Hetzer's information was last updated on 2015-10-05.