Ellen T Woodruff is a Clinical in Clinton, Missouri. Ellen T Woodruff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen T Woodruff is 1609987593. The last update date is 2012-11-05.
Ellen T Woodruff's current location address is 1800 Community, Clinton, Missouri. You can contact this provider via phone number 8167283650. The mailing address for Ellen T Woodruff is 1800 Community, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen T Woodruff |
|---|---|
| Address | 1800 Community, Clinton, Missouri |
| Phone Number | 8167283650 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609987593 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2012-11-05 |
Provider Mailing Address Detail
| Address | 1800 Community |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 647358804 |
| Phone Number | 8167283650 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 915 |
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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 |
|---|---|---|---|
| 31543 | MO | NEW DIRECTIONS | |
| 496905613 | MO | -- | |
| 30501014 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ellen T Woodruff?
The Ellen T Woodruff has been issued the NPI (National Provider Identifier) 1609987593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Ellen T Woodruff is located?
The Ellen T Woodruff is situated at the following address: 1800 Community, Clinton, MO, 647358804.
What is the Ellen T Woodruff's area of specialization and corresponding taxonomy classification?
The Ellen T Woodruff's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1609987593 to Ellen T Woodruff?
The Centers for Medicare & Medicaid Services assigned the 1609987593 to Ellen T Woodruff on 2006-08-31.
When was the information regarding Ellen T Woodruff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ellen T Woodruff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-11-05.