Thomas L Mccolloch in Vonore - Clinical

Thomas L Mccolloch - NPI 1588663322

Thomas L Mccolloch is a Clinical in Vonore, Tennessee. Thomas L Mccolloch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas L Mccolloch is 1588663322. The last update date is 2019-09-27.

Thomas L Mccolloch's current location address is 1206 Highway 411, Vonore, Tennessee. You can contact this provider via phone number 4238847271 and fax number 4238843277. The mailing address for Thomas L Mccolloch is 1206 Highway 411, Vonore, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas L Mccolloch
Address 1206 Highway 411, Vonore, Tennessee
Phone Number 4238847271
Fax Number 4238843277
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1588663322
Provider Enumeration Date 2005-07-14
Last Updated Date 2019-09-27

Provider Mailing Address Detail

Address 1206 Highway 411
City Vonore
State Tennessee (TN)
Post Code 3788524550
Phone Number 4238847271
Fax Number 4238843277

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C-10660
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
11261845 CAQH
3921436 TN --

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FAQs about Thomas L Mccolloch

What is the Thomas L Mccolloch's 1588663322?

The Thomas L Mccolloch's NPI (National Provider Identifier) Number is 1588663322. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Thomas L Mccolloch?

The Thomas L Mccolloch is situated at 1206 Highway 411, in the city of Vonore, state of TN, with the zip code 3788524550.

What is Thomas L Mccolloch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Thomas L Mccolloch is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did Thomas L Mccolloch receive its 1588663322 assignment from the Centers for Medicare & Medicaid Services?

The Thomas L Mccolloch was assigned its 1588663322 on 2005-07-14, 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 Thomas L Mccolloch's details last updated?

The information pertaining to the Thomas L Mccolloch, including its address, specialty, and other details, was most recently updated on 2019-09-27.

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