Adrienne Lachelle Eaglin in Dardenne Prairie - Clinical

Adrienne Lachelle Eaglin - NPI 1578629713

Adrienne Lachelle Eaglin is a Clinical in Dardenne Prairie, Missouri. Adrienne Lachelle Eaglin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Adrienne Lachelle Eaglin is 1578629713. The last update date is 2007-07-09.

Adrienne Lachelle Eaglin's current location address is 44 Wellington Downs Dr, Dardenne Prairie, Missouri. You can contact this provider via phone number 6362406506 and fax number 6362944132. The mailing address for Adrienne Lachelle Eaglin is 44 Wellington Downs Dr, Dardenne Prairie, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Adrienne Lachelle Eaglin
Address 44 Wellington Downs Dr, Dardenne Prairie, Missouri
Phone Number 6362406506
Fax Number 6362944132
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1578629713
Provider Enumeration Date 2006-12-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 44 Wellington Downs Dr
City Dardenne Prairie
State Missouri (MO)
Post Code 633687331
Phone Number 6362406506
Fax Number 6362944132

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2002027324
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
183974 MO BLUE CROSS BLUE SHIELD

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FAQs about Adrienne Lachelle Eaglin

What is the unique identifier code issued to Adrienne Lachelle Eaglin by the Centers for Medicare & Medicaid Services (CMS)?

The Adrienne Lachelle Eaglin has been assigned the NPI (National Provider Identifier) 1578629713. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Adrienne Lachelle Eaglin's facilities are situated?

The facilities of Adrienne Lachelle Eaglin are physically located at the following address: 44 Wellington Downs Dr, Dardenne Prairie, MO, 633687331.

What is Adrienne Lachelle Eaglin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Adrienne Lachelle Eaglin is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1578629713 to Adrienne Lachelle Eaglin?

The Adrienne Lachelle Eaglin received its 1578629713 assignment from the Centers for Medicare & Medicaid Services on 2006-12-30.

When was the information pertaining to Adrienne Lachelle Eaglin most recently updated or revised?

The details related to Adrienne Lachelle Eaglin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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