Russell A. Weathersby in Zephyr Cove - Clinical
Russell A. Weathersby - NPI 1962425975
Russell A. Weathersby is a Clinical in Zephyr Cove, Nevada. Russell A. Weathersby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell A. Weathersby is 1962425975. The last update date is 2017-04-06.
Russell A. Weathersby's current location address is Po Box 574, Zephyr Cove, Nevada. You can contact this provider via phone number 8287135496. The mailing address for Russell A. Weathersby is Po Box 574, Zephyr Cove, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell A. Weathersby |
|---|---|
| Address | Po Box 574, Zephyr Cove, Nevada |
| Phone Number | 8287135496 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1962425975 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2017-04-06 |
Provider Mailing Address Detail
| Address | Po Box 574 |
|---|---|
| City | Zephyr Cove |
| State | Nevada (NV) |
| Post Code | 894480574 |
| Phone Number | 8287135496 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L4865 |
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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 |
|---|---|---|---|
| 6003455 | NC | -- | |
| 135RN | NC | BCBS NC |
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What is the unique 10-digit identification code issued to Russell A. Weathersby by the Centers for Medicare & Medicaid Services?
The Russell A. Weathersby has been assigned the NPI (National Provider Identifier) 1962425975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Russell A. Weathersby's physical address?
The Russell A. Weathersby is physically located at Po Box 574, in the city of Zephyr Cove, NV, with the postal code 894480574.
What is the Russell A. Weathersby's specialty and taxonomy code?
The Russell A. Weathersby's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Russell A. Weathersby receive the assignment of its 1962425975 from the Centers for Medicare & Medicaid Services?
The Russell A. Weathersby was issued its 1962425975 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details pertaining to Russell A. Weathersby last refreshed?
The information related to the Russell A. Weathersby, including its address, specialty, and other relevant details, was last updated on 2017-04-06.