James Bryan Mccollom in Columbia - Clinical

James Bryan Mccollom - NPI 1275751711

James Bryan Mccollom is a Clinical in Columbia, Maryland. James Bryan Mccollom practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Bryan Mccollom is 1275751711. The last update date is 2014-10-30.

James Bryan Mccollom's current location address is 8930 Stanford Blvd., Columbia, Maryland. You can contact this provider via phone number 4103136202 and fax number 4103136212. The mailing address for James Bryan Mccollom is 8930 Stanford Blvd., Columbia, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name James Bryan Mccollom
Address 8930 Stanford Blvd., Columbia, Maryland
Phone Number 4103136202
Fax Number 4103136212
Sole Proprietor Y
Credentials LCSW-C

NPI Number Detail

NPI Number 1275751711
Provider Enumeration Date 2007-04-22
Last Updated Date 2014-10-30

Provider Mailing Address Detail

Address 8930 Stanford Blvd.
City Columbia
State Maryland (MD)
Post Code 21045
Phone Number 4103136202
Fax Number 4103136212

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6538
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 James Bryan Mccollom

What is the James Bryan Mccollom's 1275751711?

The James Bryan Mccollom's NPI (National Provider Identifier) Number is 1275751711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where James Bryan Mccollom is located?

The James Bryan Mccollom is situated at the following address: 8930 Stanford Blvd., Columbia, MD, 21045.

What is the area of specialization for James Bryan Mccollom, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for James Bryan Mccollom is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275751711 to James Bryan Mccollom?

The Centers for Medicare & Medicaid Services originally issued the 1275751711 to James Bryan Mccollom on 2007-04-22.

As of what date were the details related to James Bryan Mccollom most recently updated or revised?

The information pertaining to James Bryan Mccollom, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-30.

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