Ellen Betts Clemmer in Raleigh - Clinical

Ellen Betts Clemmer - NPI 1821105669

Ellen Betts Clemmer is a Clinical in Raleigh, North Carolina. Ellen Betts Clemmer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Betts Clemmer is 1821105669. The last update date is 2007-07-08.

Ellen Betts Clemmer's current location address is 3010 Falstaff Rd, Raleigh, North Carolina. You can contact this provider via phone number 9192503101 and fax number 9192503194. The mailing address for Ellen Betts Clemmer is 3010 Falstaff Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Betts Clemmer
Address 3010 Falstaff Rd, Raleigh, North Carolina
Phone Number 9192503101
Fax Number 9192503194
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1821105669
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3010 Falstaff Rd
City Raleigh
State North Carolina (NC)
Post Code 276101813
Phone Number 9192503101
Fax Number 9192503194

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C002153
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
6003643 NC --

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FAQs about Ellen Betts Clemmer

What is the unique identifier code issued to Ellen Betts Clemmer by the Centers for Medicare & Medicaid Services?

The Ellen Betts Clemmer has been assigned the NPI (National Provider Identifier) 1821105669. 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 Ellen Betts Clemmer is physically located?

The Ellen Betts Clemmer is physically situated at the following address: 3010 Falstaff Rd, Raleigh, NC, 276101813.

What is Ellen Betts Clemmer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ellen Betts Clemmer's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When was the Ellen Betts Clemmer's 1821105669 issued?

The Ellen Betts Clemmer's 1821105669 was issued on 2006-08-25.

As of what date were the details pertaining to Ellen Betts Clemmer last refreshed?

The information related to the Ellen Betts Clemmer, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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