Porter Holiday is a Clinical in Albuquerque, New Mexico. Porter Holiday practices all healthcare services and medical treatments related to Clinical. The NPI Number for Porter Holiday is 1568628667. The last update date is 2018-09-07.
Porter Holiday's current location address is 10633 Mcmichael Ln Sw, Albuquerque, New Mexico. You can contact this provider via phone number 5057105877. The mailing address for Porter Holiday is 10633 Mcmichael Ln Sw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Porter Holiday |
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Address | 10633 Mcmichael Ln Sw, Albuquerque, New Mexico |
Phone Number | 5057105877 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1568628667 |
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Provider Enumeration Date | 2008-07-29 |
Last Updated Date | 2018-09-07 |
Provider Mailing Address Detail
Address | 10633 Mcmichael Ln Sw |
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City | Albuquerque |
State | New Mexico (NM) |
Post Code | 87121 |
Phone Number | 5057105877 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | M-08603 |
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 |
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73558524 | NM | -- |
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What is the unique 10-digit identification code issued to Porter Holiday by the Centers for Medicare & Medicaid Services?
The Porter Holiday has been assigned the NPI (National Provider Identifier) 1568628667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Porter Holiday?
The Porter Holiday is situated at 10633 Mcmichael Ln Sw, in the city of Albuquerque, state of NM, with the zip code 87121.
What is Porter Holiday's area of expertise and its corresponding taxonomy classification?
The Porter Holiday's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Porter Holiday receive its 1568628667 assignment from the Centers for Medicare & Medicaid Services?
The Porter Holiday was assigned its 1568628667 by the Centers for Medicare & Medicaid Services on 2008-07-29.
As of what date was the information regarding Porter Holiday, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Porter Holiday, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-07.
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