Ernest Neergaard Pedersen in Fayetteville - Clinical
Ernest Neergaard Pedersen - NPI 1396726352
Ernest Neergaard Pedersen is a Clinical in Fayetteville, North Carolina. Ernest Neergaard Pedersen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ernest Neergaard Pedersen is 1396726352. The last update date is 2007-07-09.
Ernest Neergaard Pedersen's current location address is 2587 Ravenhill Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103231543. The mailing address for Ernest Neergaard Pedersen is 2587 Ravenhill Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ernest Neergaard Pedersen |
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Address | 2587 Ravenhill Dr, Fayetteville, North Carolina |
Phone Number | 9103231543 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1396726352 |
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Provider Enumeration Date | 2005-11-08 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 2587 Ravenhill Dr |
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City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283035451 |
Phone Number | 9103231543 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | C000342 |
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 |
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2118936 | NC | CIGNA | |
6106080 | NC | -- | |
66511 | NC | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Ernest Neergaard Pedersen by the Centers for Medicare & Medicaid Services?
The Ernest Neergaard Pedersen has been assigned the NPI (National Provider Identifier) 1396726352. 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 provide the complete street address where Ernest Neergaard Pedersen is physically located?
The Ernest Neergaard Pedersen is physically situated at the following address: 2587 Ravenhill Dr, Fayetteville, NC, 283035451.
What is Ernest Neergaard Pedersen's area of expertise and its corresponding taxonomy classification?
The Ernest Neergaard Pedersen's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396726352 to Ernest Neergaard Pedersen?
The Centers for Medicare & Medicaid Services originally issued the 1396726352 to Ernest Neergaard Pedersen on 2005-11-08.
As of what date were the details related to Ernest Neergaard Pedersen most recently updated or revised?
The information pertaining to Ernest Neergaard Pedersen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.