Bruce Douglas Washburne in Albuquerque - Clinical
Bruce Douglas Washburne - NPI 1093776940
Bruce Douglas Washburne is a Clinical in Albuquerque, New Mexico. Bruce Douglas Washburne practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Douglas Washburne is 1093776940. The last update date is 2007-07-08.
Bruce Douglas Washburne's current location address is 424 Wellesley Dr Se, Albuquerque, New Mexico. You can contact this provider via phone number 5052653218. The mailing address for Bruce Douglas Washburne is 424 Wellesley Dr Se, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Washburne |
|---|---|
| Address | 424 Wellesley Dr Se, Albuquerque, New Mexico |
| Phone Number | 5052653218 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1093776940 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 424 Wellesley Dr Se |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871061424 |
| Phone Number | 5052653218 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-0957 |
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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 |
|---|---|---|---|
| I-0957 | NM | SOCIAL WORK LICENSE |
Post Comment/ Review Below
What is the Bruce Douglas Washburne's unique identification number?
The Bruce Douglas Washburne has been assigned the NPI (National Provider Identifier) Number 1093776940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Bruce Douglas Washburne is physically located?
The Bruce Douglas Washburne is physically situated at the following address: 424 Wellesley Dr Se, Albuquerque, NM, 871061424.
What is the Bruce Douglas Washburne's area of specialization and corresponding taxonomy classification?
The Bruce Douglas Washburne's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Bruce Douglas Washburne receive its 1093776940 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Douglas Washburne was assigned its 1093776940 on 2006-03-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce Douglas Washburne most recently updated or revised?
The details related to Bruce Douglas Washburne, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.