Terry Lynn Tackett in Wilmington - Clinical
Terry Lynn Tackett - NPI 1396829164
Terry Lynn Tackett is a Clinical in Wilmington, North Carolina. Terry Lynn Tackett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Lynn Tackett is 1396829164. The last update date is 2016-05-12.
Terry Lynn Tackett's current location address is 610 S College Rd, Wilmington, North Carolina. You can contact this provider via phone number 9107991071 and fax number 9107993313. The mailing address for Terry Lynn Tackett is 610 S College Rd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terry Lynn Tackett |
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Address | 610 S College Rd, Wilmington, North Carolina |
Phone Number | 9107991071 |
Fax Number | 9107993313 |
Sole Proprietor | N |
Credentials | MSW/LCSW/L |
NPI Number Detail
NPI Number | 1396829164 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2016-05-12 |
Provider Mailing Address Detail
Address | 610 S College Rd |
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City | Wilmington |
State | North Carolina (NC) |
Post Code | 284033202 |
Phone Number | 9107991071 |
Fax Number | 9107993313 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 904003021 |
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 10-digit identifier code issued to Terry Lynn Tackett by the Centers for Medicare & Medicaid Services?
The Terry Lynn Tackett has been assigned the NPI (National Provider Identifier) 1396829164 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Terry Lynn Tackett's physical address?
The Terry Lynn Tackett is physically located at 610 S College Rd, in the city of Wilmington, NC, with the postal code 284033202.
What is Terry Lynn Tackett's area of expertise and its corresponding taxonomy classification?
The Terry Lynn Tackett'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 1396829164 to Terry Lynn Tackett?
The Centers for Medicare & Medicaid Services originally issued the 1396829164 to Terry Lynn Tackett on 2006-10-25.
As of what date were the details pertaining to Terry Lynn Tackett last refreshed?
The information related to the Terry Lynn Tackett, including its address, specialty, and other relevant details, was last updated on 2016-05-12.