Randall Allen Whitaker in Fort Leonard Wood - Clinical
Randall Allen Whitaker - NPI 1164438263
Randall Allen Whitaker is a Clinical in Fort Leonard Wood, Missouri. Randall Allen Whitaker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall Allen Whitaker is 1164438263. The last update date is 2007-07-08.
Randall Allen Whitaker's current location address is 126 Missouri Ave, Fort Leonard Wood, Missouri. You can contact this provider via phone number 5735960417 and fax number 5735960524. The mailing address for Randall Allen Whitaker is 126 Missouri Ave, Fort Leonard Wood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Allen Whitaker |
|---|---|
| Address | 126 Missouri Ave, Fort Leonard Wood, Missouri |
| Phone Number | 5735960417 |
| Fax Number | 5735960524 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1164438263 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 126 Missouri Ave |
|---|---|
| City | Fort Leonard Wood |
| State | Missouri (MO) |
| Post Code | 654738952 |
| Phone Number | 5735960417 |
| Fax Number | 5735960524 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 791 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randall Allen Whitaker by the Centers for Medicare & Medicaid Services?
The Randall Allen Whitaker has been assigned the NPI (National Provider Identifier) 1164438263 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Randall Allen Whitaker located?
The Randall Allen Whitaker is located at 126 Missouri Ave, Fort Leonard Wood, MO 654738952.
What is Randall Allen Whitaker's area of expertise and its corresponding taxonomy classification?
The Randall Allen Whitaker's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164438263 to Randall Allen Whitaker?
The Centers for Medicare & Medicaid Services originally issued the 1164438263 to Randall Allen Whitaker on 2006-07-31.
As of what date was the information regarding Randall Allen Whitaker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall Allen Whitaker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI