Lydia Perrin Scruggs in Shelby - Clinical

Lydia Perrin Scruggs - NPI 1265489363

Lydia Perrin Scruggs is a Clinical in Shelby, North Carolina. Lydia Perrin Scruggs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lydia Perrin Scruggs is 1265489363. The last update date is 2009-10-29.

Lydia Perrin Scruggs's current location address is Po Box 2465, Shelby, North Carolina. You can contact this provider via phone number 7044818626 and fax number 7044818507. The mailing address for Lydia Perrin Scruggs is Po Box 2465, Shelby, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lydia Perrin Scruggs
Address Po Box 2465, Shelby, North Carolina
Phone Number 7044818626
Fax Number 7044818507
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1265489363
Provider Enumeration Date 2006-05-27
Last Updated Date 2009-10-29

Provider Mailing Address Detail

Address Po Box 2465
City Shelby
State North Carolina (NC)
Post Code 281512465
Phone Number 7044818626
Fax Number 7044818507

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C004380
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
D2624 NC INDIV. MEDCOST NUMBER
474794000 NC INDIV. MAGELLAN NUMBER
133R4 NC INDIV. BCBS NUMBER
6002598 NC --

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FAQs about Lydia Perrin Scruggs

What is the unique identifier code issued to Lydia Perrin Scruggs by the Centers for Medicare & Medicaid Services (CMS)?

The Lydia Perrin Scruggs has been assigned the NPI (National Provider Identifier) 1265489363. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Lydia Perrin Scruggs's facilities are situated?

The facilities of Lydia Perrin Scruggs are physically located at the following address: Po Box 2465, Shelby, NC, 281512465.

What is Lydia Perrin Scruggs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lydia Perrin Scruggs's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Lydia Perrin Scruggs receive its 1265489363 assignment from the Centers for Medicare & Medicaid Services?

The Lydia Perrin Scruggs was assigned its 1265489363 by the Centers for Medicare & Medicaid Services on 2006-05-27.

As of what date were the details related to Lydia Perrin Scruggs most recently updated or revised?

The information pertaining to Lydia Perrin Scruggs, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-29.

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