Tamiko Thames Mccollum in Jackson - Clinical
Tamiko Thames Mccollum - NPI 1578644423
Tamiko Thames Mccollum is a Clinical in Jackson, Mississippi. Tamiko Thames Mccollum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tamiko Thames Mccollum is 1578644423. The last update date is 2007-07-08.
Tamiko Thames Mccollum's current location address is 1755 Lelia Dr, Jackson, Mississippi. You can contact this provider via phone number 6019655727. The mailing address for Tamiko Thames Mccollum is 1755 Lelia Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamiko Thames Mccollum |
|---|---|
| Address | 1755 Lelia Dr, Jackson, Mississippi |
| Phone Number | 6019655727 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1578644423 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1755 Lelia Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164828 |
| Phone Number | 6019655727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | M5374 |
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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 Tamiko Thames Mccollum's unique identification number?
The Tamiko Thames Mccollum has been assigned the NPI (National Provider Identifier) Number 1578644423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Tamiko Thames Mccollum's facilities are geographically located?
The facilities of Tamiko Thames Mccollum are physically situated at the following location: 1755 Lelia Dr, Jackson, MS, 392164828.
What is the Tamiko Thames Mccollum's specialty and taxonomy code?
The Tamiko Thames Mccollum's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Tamiko Thames Mccollum receive its 1578644423 assignment?
The Tamiko Thames Mccollum was assigned its 1578644423 on 2006-10-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Tamiko Thames Mccollum last refreshed?
The information related to the Tamiko Thames Mccollum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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