Lakenya Holmes Mccallister in Cocoa - Clinical
Lakenya Holmes Mccallister - NPI 1629196779
Lakenya Holmes Mccallister is a Clinical in Cocoa, Florida. Lakenya Holmes Mccallister practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lakenya Holmes Mccallister is 1629196779. The last update date is 2018-03-17.
Lakenya Holmes Mccallister's current location address is 640 Brevard Ave, Cocoa, Florida. You can contact this provider via phone number 3215140371. The mailing address for Lakenya Holmes Mccallister is 640 Brevard Ave, Cocoa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lakenya Holmes Mccallister |
|---|---|
| Address | 640 Brevard Ave, Cocoa, Florida |
| Phone Number | 3215140371 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, PLCSW |
NPI Number Detail
| NPI Number | 1629196779 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 640 Brevard Ave |
|---|---|
| City | Cocoa |
| State | Florida (FL) |
| Post Code | 327922541 |
| Phone Number | 3215140371 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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What is the unique identification code assigned to Lakenya Holmes Mccallister by the Centers for Medicare & Medicaid Services?
The Lakenya Holmes Mccallister has been issued the NPI (National Provider Identifier) 1629196779. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lakenya Holmes Mccallister's facilities are geographically located?
The facilities of Lakenya Holmes Mccallister are physically situated at the following location: 640 Brevard Ave, Cocoa, FL, 327922541.
What is the Lakenya Holmes Mccallister's specialty and taxonomy code?
The Lakenya Holmes Mccallister's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Lakenya Holmes Mccallister receive the assignment of its 1629196779 from the Centers for Medicare & Medicaid Services?
The Lakenya Holmes Mccallister was issued its 1629196779 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the details related to Lakenya Holmes Mccallister most recently updated or revised?
The information pertaining to Lakenya Holmes Mccallister, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-17.
NPI Number: 1821080284
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