Heather Diane Eckhart in Granby - Clinical
Heather Diane Eckhart - NPI 1174659874
Heather Diane Eckhart is a Clinical in Granby, Missouri. Heather Diane Eckhart practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Diane Eckhart is 1174659874. The last update date is 2008-05-27.
Heather Diane Eckhart's current location address is 6722 Raccoon Rd, Granby, Missouri. You can contact this provider via phone number 4174992899. The mailing address for Heather Diane Eckhart is 6722 Raccoon Rd, Granby, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Diane Eckhart |
|---|---|
| Address | 6722 Raccoon Rd, Granby, Missouri |
| Phone Number | 4174992899 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1174659874 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 6722 Raccoon Rd |
|---|---|
| City | Granby |
| State | Missouri (MO) |
| Post Code | 648447111 |
| Phone Number | 4174992899 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2006018798 |
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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 |
|---|---|---|---|
| 493736300 | MO | -- |
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What is the unique 10-digit identification code assigned to Heather Diane Eckhart by the Centers for Medicare & Medicaid Services?
The Heather Diane Eckhart has been issued the NPI (National Provider Identifier) 1174659874, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Heather Diane Eckhart located?
The Heather Diane Eckhart is located at 6722 Raccoon Rd, Granby, MO 648447111.
What is the Heather Diane Eckhart's specialty and taxonomy code?
The Heather Diane Eckhart's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174659874 to Heather Diane Eckhart?
The Centers for Medicare & Medicaid Services originally issued the 1174659874 to Heather Diane Eckhart on 2007-02-26.
When was the information regarding Heather Diane Eckhart, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heather Diane Eckhart, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-27.
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