Joanna Ruth Durham in Ellicott City - Clinical
Joanna Ruth Durham - NPI 1902823412
Joanna Ruth Durham is a Clinical in Ellicott City, Maryland. Joanna Ruth Durham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joanna Ruth Durham is 1902823412. The last update date is 2015-01-06.
Joanna Ruth Durham's current location address is 3691 Park Ave, Ellicott City, Maryland. You can contact this provider via phone number 4104567022. The mailing address for Joanna Ruth Durham is 3691 Park Ave, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanna Ruth Durham |
|---|---|
| Address | 3691 Park Ave, Ellicott City, Maryland |
| Phone Number | 4104567022 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW C |
NPI Number Detail
| NPI Number | 1902823412 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2015-01-06 |
Provider Mailing Address Detail
| Address | 3691 Park Ave |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210434783 |
| Phone Number | 4104567022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9934 |
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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 |
|---|---|---|---|
| 22 | BSDC | ||
| 150N | MBMD | ||
| 360218 | MHN | ||
| 331945 | MHN | ||
| 593795443 | MAMS | ||
| 223634 | COMP | ||
| 252450 | COMP | ||
| 61766403 | BSMD | ||
| 705BPS | BSMD | ||
| K452 | BSDC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joanna Ruth Durham?
The Joanna Ruth Durham has been issued the NPI (National Provider Identifier) 1902823412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Joanna Ruth Durham's facilities are situated?
The facilities of Joanna Ruth Durham are physically located at the following address: 3691 Park Ave, Ellicott City, MD, 210434783.
What is the Joanna Ruth Durham's specialty and taxonomy code?
The Joanna Ruth Durham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902823412 to Joanna Ruth Durham?
The Joanna Ruth Durham received its 1902823412 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the Joanna Ruth Durham's information last updated?
The Joanna Ruth Durham's information was last updated on 2015-01-06.