Impact Community Support Services, Inc. in Kannapolis - Clinical
Impact Community Support Services, Inc. - NPI 1154475572
Impact Community Support Services, Inc. is a Clinical in Kannapolis, North Carolina. Impact Community Support Services, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Impact Community Support Services, Inc. is 1154475572. The last update date is 2020-08-22.
Impact Community Support Services, Inc.'s current location address is 2183 Mallard Pointe Dr, Kannapolis, North Carolina. You can contact this provider via phone number 7045066204. The mailing address for Impact Community Support Services, Inc. is 2183 Mallard Pointe Dr, Kannapolis, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impact Community Support Services, Inc. |
|---|---|
| Address | 2183 Mallard Pointe Dr, Kannapolis, North Carolina |
| Phone Number | 7045066204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Isaiah Shawntal |
| Credentials | LCSW |
| Telephone Number | 7045066204 |
NPI Number Detail
| NPI Number | 1154475572 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2183 Mallard Pointe Dr |
|---|---|
| City | Kannapolis |
| State | North Carolina (NC) |
| Post Code | 280836204 |
| Phone Number | 7045066204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005180 |
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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 identification code assigned to Impact Community Support Services, Inc. by the Centers for Medicare & Medicaid Services?
The Impact Community Support Services, Inc. has been issued the NPI (National Provider Identifier) 1154475572. 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 Impact Community Support Services, Inc.'s facilities are geographically located?
The facilities of Impact Community Support Services, Inc. are physically situated at the following location: 2183 Mallard Pointe Dr, Kannapolis, NC, 280836204.
What is Impact Community Support Services, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Impact Community Support Services, Inc. is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Impact Community Support Services, Inc. receive its 1154475572 assignment from the Centers for Medicare & Medicaid Services?
The Impact Community Support Services, Inc. was assigned its 1154475572 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Impact Community Support Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Impact Community Support Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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