Keith Poche is a Clinical in Roanoke Rapids, North Carolina. Keith Poche practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Poche is 1518025956. The last update date is 2019-06-15.
Keith Poche's current location address is 200 Summitt Ave, Roanoke Rapids, North Carolina. You can contact this provider via phone number 9192005217 and fax number 2526502214. The mailing address for Keith Poche is 200 Summitt Ave, Roanoke Rapids, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Poche |
|---|---|
| Address | 200 Summitt Ave, Roanoke Rapids, North Carolina |
| Phone Number | 9192005217 |
| Fax Number | 2526502214 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518025956 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2019-06-15 |
Provider Mailing Address Detail
| Address | 200 Summitt Ave |
|---|---|
| City | Roanoke Rapids |
| State | North Carolina (NC) |
| Post Code | 278705026 |
| Phone Number | 9192005217 |
| Fax Number | 2526502214 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C010128 |
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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 provider identifier assigned to Keith Poche?
The Keith Poche has been issued the NPI (National Provider Identifier) 1518025956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Keith Poche's physical address?
The Keith Poche is physically located at 200 Summitt Ave, in the city of Roanoke Rapids, NC, with the postal code 278705026.
What is the Keith Poche's specialty and taxonomy code?
The Keith Poche's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Keith Poche receive the assignment of its 1518025956 from the Centers for Medicare & Medicaid Services?
The Keith Poche was issued its 1518025956 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information regarding Keith Poche most recently updated?
The details pertaining to the Keith Poche, including its address, specialty, and other relevant information, were last refreshed on 2019-06-15.