Julia B Wallace in Elmira - Clinical

Julia B Wallace - NPI 1760447098

Julia B Wallace is a Clinical in Elmira, New York. Julia B Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julia B Wallace is 1760447098. The last update date is 2007-07-09.

Julia B Wallace's current location address is 963 Walnut St, Elmira, New York. You can contact this provider via phone number 6077341447 and fax number 6077376274. The mailing address for Julia B Wallace is 963 Walnut St, Elmira, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Julia B Wallace
Address 963 Walnut St, Elmira, New York
Phone Number 6077341447
Fax Number 6077376274
Sole Proprietor X
Credentials LCSWR

NPI Number Detail

NPI Number 1760447098
Provider Enumeration Date 2006-04-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 963 Walnut St
City Elmira
State New York (NY)
Post Code 149011831
Phone Number 6077341447
Fax Number 6077376274

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R0254811
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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FAQs about Julia B Wallace

What is the unique 10-digit identifier code assigned to Julia B Wallace by the Centers for Medicare & Medicaid Services?

The Julia B Wallace has been issued the NPI (National Provider Identifier) 1760447098 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 Julia B Wallace?

The Julia B Wallace is physically situated at 963 Walnut St, in the city of Elmira, state of NY, with the postal code 149011831.

What is Julia B Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Julia B Wallace is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Julia B Wallace receive the assignment of its 1760447098 from the Centers for Medicare & Medicaid Services?

The Julia B Wallace was issued its 1760447098 by the Centers for Medicare & Medicaid Services on 2006-04-19.

When was the information regarding Julia B Wallace most recently updated?

The details pertaining to the Julia B Wallace, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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