Geannette Loftin Walls in Saint Louis - Clinical

Geannette Loftin Walls - NPI 1215125448

Geannette Loftin Walls is a Clinical in Saint Louis, Missouri. Geannette Loftin Walls practices all healthcare services and medical treatments related to Clinical. The NPI Number for Geannette Loftin Walls is 1215125448. The last update date is 2014-12-18.

Geannette Loftin Walls's current location address is 5471 Dr Martin Luther King Dr, Saint Louis, Missouri. You can contact this provider via phone number 3143675820 and fax number 3143677010. The mailing address for Geannette Loftin Walls is 5471 Dr Martin Luther King Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Geannette Loftin Walls
Address 5471 Dr Martin Luther King Dr, Saint Louis, Missouri
Phone Number 3143675820
Fax Number 3143677010
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1215125448
Provider Enumeration Date 2007-10-12
Last Updated Date 2014-12-18

Provider Mailing Address Detail

Address 5471 Dr Martin Luther King Dr
City Saint Louis
State Missouri (MO)
Post Code 631124265
Phone Number 3143675820
Fax Number 3143677010

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2651
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
2651 MO LCSW CERT. NUMBER

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FAQs about Geannette Loftin Walls

What is the unique identification code assigned to Geannette Loftin Walls by the Centers for Medicare & Medicaid Services?

The Geannette Loftin Walls has been issued the NPI (National Provider Identifier) 1215125448. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Geannette Loftin Walls?

The Geannette Loftin Walls is situated at 5471 Dr Martin Luther King Dr, in the city of Saint Louis, state of MO, with the zip code 631124265.

What is Geannette Loftin Walls's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Geannette Loftin Walls's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did Geannette Loftin Walls receive its 1215125448 assignment from the Centers for Medicare & Medicaid Services?

The Geannette Loftin Walls was assigned its 1215125448 on 2007-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Geannette Loftin Walls, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Geannette Loftin Walls, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-18.

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