Scott Tracy Underwood in Nellis Afb - Clinical
Scott Tracy Underwood - NPI 1770615395
Scott Tracy Underwood is a Clinical in Nellis Afb, Nevada. Scott Tracy Underwood practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott Tracy Underwood is 1770615395. The last update date is 2022-07-21.
Scott Tracy Underwood's current location address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can contact this provider via phone number 7026533880. The mailing address for Scott Tracy Underwood is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Tracy Underwood |
|---|---|
| Address | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Phone Number | 7026533880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770615395 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4700 Las Vegas Blvd N |
|---|---|
| City | Nellis Afb |
| State | Nevada (NV) |
| Post Code | 891916600 |
| Phone Number | 7026533880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6067-C |
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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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What is the unique 10-digit identification code issued to Scott Tracy Underwood by the Centers for Medicare & Medicaid Services?
The Scott Tracy Underwood has been assigned the NPI (National Provider Identifier) 1770615395 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 physical location address of Scott Tracy Underwood?
The Scott Tracy Underwood is physically situated at 4700 Las Vegas Blvd N, in the city of Nellis Afb, state of NV, with the postal code 891916600.
What is Scott Tracy Underwood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott Tracy Underwood is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Scott Tracy Underwood receive its 1770615395 assignment from the Centers for Medicare & Medicaid Services?
The Scott Tracy Underwood was assigned its 1770615395 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information regarding Scott Tracy Underwood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scott Tracy Underwood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.