Phyllis Dewaters is a Clinical in Kalamazoo, Michigan. Phyllis Dewaters practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Dewaters is 1053412577. The last update date is 2019-01-07.
Phyllis Dewaters's current location address is 222 N Kalamazoo Mall Ste 100, Kalamazoo, Michigan. You can contact this provider via phone number 2693450273. The mailing address for Phyllis Dewaters is 222 N Kalamazoo Mall Ste 100, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Dewaters |
|---|---|
| Address | 222 N Kalamazoo Mall Ste 100, Kalamazoo, Michigan |
| Phone Number | 2693450273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1053412577 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2019-01-07 |
Provider Mailing Address Detail
| Address | 222 N Kalamazoo Mall Ste 100 |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490073899 |
| Phone Number | 2693450273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801063264 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053412577 | MI | -- |
Post Comment/ Review Below
What is the Phyllis Dewaters's 1053412577?
The Phyllis Dewaters's NPI (National Provider Identifier) Number is 1053412577. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Phyllis Dewaters's physical address?
The Phyllis Dewaters is physically located at 222 N Kalamazoo Mall Ste 100, in the city of Kalamazoo, MI, with the postal code 490073899.
What is Phyllis Dewaters's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phyllis Dewaters is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Phyllis Dewaters's 1053412577 issued?
The Phyllis Dewaters's 1053412577 was issued on 2006-09-26.
When was the information pertaining to Phyllis Dewaters most recently updated or revised?
The details related to Phyllis Dewaters, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA