John Archer Dandridge in Detroit - Clinical
John Archer Dandridge - NPI 1679626279
John Archer Dandridge is a Clinical in Detroit, Michigan. John Archer Dandridge practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Archer Dandridge is 1679626279. The last update date is 2015-09-22.
John Archer Dandridge's current location address is 19411w Mcnichols Rd, Detroit, Michigan. You can contact this provider via phone number 3139698817. The mailing address for John Archer Dandridge is 19411w Mcnichols Rd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Archer Dandridge |
|---|---|
| Address | 19411w Mcnichols Rd, Detroit, Michigan |
| Phone Number | 3139698817 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1679626279 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2015-09-22 |
Provider Mailing Address Detail
| Address | 19411w Mcnichols Rd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48235 |
| Phone Number | 3139698817 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801069046 |
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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 assigned to John Archer Dandridge by the Centers for Medicare & Medicaid Services?
The John Archer Dandridge has been issued the NPI (National Provider Identifier) 1679626279, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Archer Dandridge is geographically located?
The John Archer Dandridge is physically situated at the following location: 19411W Mcnichols Rd, Detroit, MI, 48235.
What is the John Archer Dandridge's area of specialization and corresponding taxonomy classification?
The John Archer Dandridge's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the John Archer Dandridge's 1679626279 issued?
The John Archer Dandridge's 1679626279 was issued on 2007-01-19.
As of what date were the John Archer Dandridge's details last updated?
The information pertaining to the John Archer Dandridge, including its address, specialty, and other details, was most recently updated on 2015-09-22.
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