Darryl Wheat is a Clinical in Brandon, Mississippi. Darryl Wheat practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darryl Wheat is 1194877068. The last update date is 2007-07-08.
Darryl Wheat's current location address is 55 Woodgate Dr, Brandon, Mississippi. You can contact this provider via phone number 6016135250 and fax number 6018247775. The mailing address for Darryl Wheat is 55 Woodgate Dr, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryl Wheat |
|---|---|
| Address | 55 Woodgate Dr, Brandon, Mississippi |
| Phone Number | 6016135250 |
| Fax Number | 6018247775 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1194877068 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Woodgate Dr |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390422285 |
| Phone Number | 6016135250 |
| Fax Number | 6018247775 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C1490 |
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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 |
|---|---|---|---|
| 114348 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Darryl Wheat by the Centers for Medicare & Medicaid Services?
The Darryl Wheat has been issued the NPI (National Provider Identifier) 1194877068 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Darryl Wheat?
The Darryl Wheat is physically situated at 55 Woodgate Dr, in the city of Brandon, state of MS, with the postal code 390422285.
What is the area of specialization for Darryl Wheat, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Darryl Wheat is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194877068 to Darryl Wheat?
The Centers for Medicare & Medicaid Services originally issued the 1194877068 to Darryl Wheat on 2007-01-18.
When was the information pertaining to Darryl Wheat most recently updated or revised?
The details related to Darryl Wheat, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA