Eric Thomas Lybeck-Brown in Jefferson City - Clinical

Eric Thomas Lybeck-Brown - NPI 1003898404

Eric Thomas Lybeck-Brown is a Clinical in Jefferson City, Missouri. Eric Thomas Lybeck-Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Thomas Lybeck-Brown is 1003898404. The last update date is 2007-07-08.

Eric Thomas Lybeck-Brown's current location address is 211 Oscar Dr, Jefferson City, Missouri. You can contact this provider via phone number 5736358299 and fax number 5736354629. The mailing address for Eric Thomas Lybeck-Brown is 211 Oscar Dr, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Thomas Lybeck-Brown
Address 211 Oscar Dr, Jefferson City, Missouri
Phone Number 5736358299
Fax Number 5736354629
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1003898404
Provider Enumeration Date 2005-11-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 211 Oscar Dr
City Jefferson City
State Missouri (MO)
Post Code 651015197
Phone Number 5736358299
Fax Number 5736354629

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2002022069
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
180131 MO BLUE CROSS BLUE SHIELD
397431 MO HEALTHLINK
180131 MO BLUE CHOICE

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FAQs about Eric Thomas Lybeck-Brown

What is the unique 10-digit identification code issued to Eric Thomas Lybeck-Brown by the Centers for Medicare & Medicaid Services?

The Eric Thomas Lybeck-Brown has been assigned the NPI (National Provider Identifier) 1003898404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Eric Thomas Lybeck-Brown is physically located?

The Eric Thomas Lybeck-Brown is physically situated at the following address: 211 Oscar Dr, Jefferson City, MO, 651015197.

What is Eric Thomas Lybeck-Brown's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Eric Thomas Lybeck-Brown'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 Eric Thomas Lybeck-Brown receive the assignment of its 1003898404 from the Centers for Medicare & Medicaid Services?

The Eric Thomas Lybeck-Brown was issued its 1003898404 by the Centers for Medicare & Medicaid Services on 2005-11-19.

When was the information pertaining to Eric Thomas Lybeck-Brown most recently updated or revised?

The details related to Eric Thomas Lybeck-Brown, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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