Shawn Proudfoot is a Clinical in Albuquerque, New Mexico. Shawn Proudfoot practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shawn Proudfoot is 1902865165. The last update date is 2009-08-25.
Shawn Proudfoot's current location address is 1709 Moon St Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052710329 and fax number 5052714957. The mailing address for Shawn Proudfoot is 1709 Moon St Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Proudfoot |
|---|---|
| Address | 1709 Moon St Ne, Albuquerque, New Mexico |
| Phone Number | 5052710329 |
| Fax Number | 5052714957 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1902865165 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2009-08-25 |
Provider Mailing Address Detail
| Address | 1709 Moon St Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871123935 |
| Phone Number | 5052710329 |
| Fax Number | 5052714957 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149004982 |
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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 |
|---|---|---|---|
| 343172 | IL | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shawn Proudfoot by the Centers for Medicare & Medicaid Services?
The Shawn Proudfoot has been issued the NPI (National Provider Identifier) 1902865165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shawn Proudfoot?
The Shawn Proudfoot is physically situated at 1709 Moon St Ne, in the city of Albuquerque, state of NM, with the postal code 871123935.
What is the Shawn Proudfoot's specialty and taxonomy code?
The Shawn Proudfoot's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Shawn Proudfoot receive its 1902865165 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Proudfoot was assigned its 1902865165 on 2006-03-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shawn Proudfoot, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shawn Proudfoot, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-25.