Kent C Trader is a Clinical in Fayetteville, North Carolina. Kent C Trader practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kent C Trader is 1912096181. The last update date is 2007-07-08.
Kent C Trader's current location address is 711 Executive Pl, Fayetteville, North Carolina. You can contact this provider via phone number 9193232311. The mailing address for Kent C Trader is 711 Executive Pl, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent C Trader |
|---|---|
| Address | 711 Executive Pl, Fayetteville, North Carolina |
| Phone Number | 9193232311 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, PLCSW |
NPI Number Detail
| NPI Number | 1912096181 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 711 Executive Pl |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283055193 |
| Phone Number | 9193232311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | P003587 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kent C Trader by the Centers for Medicare & Medicaid Services?
The Kent C Trader has been assigned the NPI (National Provider Identifier) 1912096181. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kent C Trader is geographically located?
The Kent C Trader is physically situated at the following location: 711 Executive Pl, Fayetteville, NC, 283055193.
What is Kent C Trader's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kent C Trader's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912096181 to Kent C Trader?
The Centers for Medicare & Medicaid Services originally issued the 1912096181 to Kent C Trader on 2006-10-12.
When was the information regarding Kent C Trader most recently updated?
The details pertaining to the Kent C Trader, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.