Frazier Clethon Wilson in Albuquerque - Clinical
Frazier Clethon Wilson - NPI 1972683894
Frazier Clethon Wilson is a Clinical in Albuquerque, New Mexico. Frazier Clethon Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Frazier Clethon Wilson is 1972683894. The last update date is 2009-12-07.
Frazier Clethon Wilson's current location address is 2418 Miles Rd Se, Albuquerque, New Mexico. You can contact this provider via phone number 5059747602 and fax number 5058421503. The mailing address for Frazier Clethon Wilson is 2418 Miles Rd Se, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frazier Clethon Wilson |
|---|---|
| Address | 2418 Miles Rd Se, Albuquerque, New Mexico |
| Phone Number | 5059747602 |
| Fax Number | 5058421503 |
| Sole Proprietor | Y |
| Credentials | LISW, LADA |
NPI Number Detail
| NPI Number | 1972683894 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2009-12-07 |
Provider Mailing Address Detail
| Address | 2418 Miles Rd Se |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871063224 |
| Phone Number | 5059747602 |
| Fax Number | 5058421503 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-06709 |
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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-06709 | NM | LICENSE | |
| 93531 | NM | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Frazier Clethon Wilson?
The Frazier Clethon Wilson has been issued the NPI (National Provider Identifier) 1972683894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Frazier Clethon Wilson located?
The Frazier Clethon Wilson is located at 2418 Miles Rd Se, Albuquerque, NM 871063224.
What is Frazier Clethon Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Frazier Clethon Wilson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Frazier Clethon Wilson receive its 1972683894 assignment from the Centers for Medicare & Medicaid Services?
The Frazier Clethon Wilson was assigned its 1972683894 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Frazier Clethon Wilson last refreshed?
The information related to the Frazier Clethon Wilson, including its address, specialty, and other relevant details, was last updated on 2009-12-07.