Elizabeth Diane Eddy in Grand Rapids - Clinical

Elizabeth Diane Eddy - NPI 1134175599

Elizabeth Diane Eddy is a Clinical in Grand Rapids, Michigan. Elizabeth Diane Eddy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Diane Eddy is 1134175599. The last update date is 2007-07-08.

Elizabeth Diane Eddy's current location address is 1000 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169572416 and fax number 6169573996. The mailing address for Elizabeth Diane Eddy is 1000 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Diane Eddy
Address 1000 E Paris Ave Se, Grand Rapids, Michigan
Phone Number 6169572416
Fax Number 6169573996
Sole Proprietor X
Credentials M.S.W.

NPI Number Detail

NPI Number 1134175599
Provider Enumeration Date 2006-05-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1000 E Paris Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495463680
Phone Number 6169572416
Fax Number 6169573996

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801014267
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 Elizabeth Diane Eddy

What is the unique 10-digit identifier code assigned to Elizabeth Diane Eddy by the Centers for Medicare & Medicaid Services?

The Elizabeth Diane Eddy has been issued the NPI (National Provider Identifier) 1134175599 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Elizabeth Diane Eddy's physical address?

The Elizabeth Diane Eddy is physically located at 1000 E Paris Ave Se, in the city of Grand Rapids, MI, with the postal code 495463680.

What is Elizabeth Diane Eddy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Elizabeth Diane Eddy is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did the Elizabeth Diane Eddy receive its 1134175599?

The Elizabeth Diane Eddy was issued its 1134175599 on 2006-05-26, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Elizabeth Diane Eddy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elizabeth Diane Eddy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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