Kevin Ray Heiskala in Hagerstown - Clinical
Kevin Ray Heiskala - NPI 1710186507
Kevin Ray Heiskala is a Clinical in Hagerstown, Maryland. Kevin Ray Heiskala practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Ray Heiskala is 1710186507. The last update date is 2007-07-12.
Kevin Ray Heiskala's current location address is 1180 Professional Ct, Hagerstown, Maryland. You can contact this provider via phone number 3017913045 and fax number 2403133071. The mailing address for Kevin Ray Heiskala is 1180 Professional Ct, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Ray Heiskala |
|---|---|
| Address | 1180 Professional Ct, Hagerstown, Maryland |
| Phone Number | 3017913045 |
| Fax Number | 2403133071 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1710186507 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 1180 Professional Ct |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217405852 |
| Phone Number | 3017913045 |
| Fax Number | 2403133071 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 60597 |
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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 identifier code issued to Kevin Ray Heiskala by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Ray Heiskala has been assigned the NPI (National Provider Identifier) 1710186507. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kevin Ray Heiskala's physical address?
The Kevin Ray Heiskala is physically located at 1180 Professional Ct, in the city of Hagerstown, MD, with the postal code 217405852.
What is the Kevin Ray Heiskala's area of specialization and corresponding taxonomy classification?
The Kevin Ray Heiskala's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710186507 to Kevin Ray Heiskala?
The Centers for Medicare & Medicaid Services assigned the 1710186507 to Kevin Ray Heiskala on 2007-07-12.
When was the Kevin Ray Heiskala's information last updated?
The Kevin Ray Heiskala's information was last updated on 2007-07-12.
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