Rebecca Banahan Avery in Oxford - Clinical
Rebecca Banahan Avery - NPI 1235293762
Rebecca Banahan Avery is a Clinical in Oxford, Mississippi. Rebecca Banahan Avery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rebecca Banahan Avery is 1235293762. The last update date is 2016-02-01.
Rebecca Banahan Avery's current location address is 428 N Lamar Blvd, Oxford, Mississippi. You can contact this provider via phone number 6622344876. The mailing address for Rebecca Banahan Avery is 428 N Lamar Blvd, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Banahan Avery |
|---|---|
| Address | 428 N Lamar Blvd, Oxford, Mississippi |
| Phone Number | 6622344876 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235293762 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2016-02-01 |
Provider Mailing Address Detail
| Address | 428 N Lamar Blvd |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386553221 |
| Phone Number | 6622344876 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C8314 |
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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 identifier code issued to Rebecca Banahan Avery by the Centers for Medicare & Medicaid Services?
The Rebecca Banahan Avery has been assigned the NPI (National Provider Identifier) 1235293762 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Rebecca Banahan Avery's facilities are geographically located?
The facilities of Rebecca Banahan Avery are physically situated at the following location: 428 N Lamar Blvd, Oxford, MS, 386553221.
What is Rebecca Banahan Avery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rebecca Banahan Avery's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Rebecca Banahan Avery receive the assignment of its 1235293762 from the Centers for Medicare & Medicaid Services?
The Rebecca Banahan Avery was issued its 1235293762 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information regarding Rebecca Banahan Avery most recently updated?
The details pertaining to the Rebecca Banahan Avery, including its address, specialty, and other relevant information, were last refreshed on 2016-02-01.