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 |
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Address | 963 Walnut St, Elmira, New York |
Phone Number | 6077341447 |
Fax Number | 6077376274 |
Sole Proprietor | X |
Credentials | LCSWR |
NPI Number Detail
NPI Number | 1760447098 |
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Provider Enumeration Date | 2006-04-19 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 963 Walnut St |
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City | Elmira |
State | New York (NY) |
Post Code | 149011831 |
Phone Number | 6077341447 |
Fax Number | 6077376274 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.