Lance Taylor Peterson in Lyndhurst - Clinical
Lance Taylor Peterson - NPI 1205047057
Lance Taylor Peterson is a Clinical in Lyndhurst, Ohio. Lance Taylor Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lance Taylor Peterson is 1205047057. The last update date is 2007-07-08.
Lance Taylor Peterson's current location address is 1551 Commodore Rd, Lyndhurst, Ohio. You can contact this provider via phone number 2165444407. The mailing address for Lance Taylor Peterson is 1551 Commodore Rd, Lyndhurst, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lance Taylor Peterson |
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Address | 1551 Commodore Rd, Lyndhurst, Ohio |
Phone Number | 2165444407 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LISW |
NPI Number Detail
NPI Number | 1205047057 |
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Provider Enumeration Date | 2007-05-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1551 Commodore Rd |
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City | Lyndhurst |
State | Ohio (OH) |
Post Code | 441242825 |
Phone Number | 2165444407 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | I 0600042 |
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 identifier code issued to Lance Taylor Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Lance Taylor Peterson has been assigned the NPI (National Provider Identifier) 1205047057. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lance Taylor Peterson located?
The Lance Taylor Peterson is located at 1551 Commodore Rd, Lyndhurst, OH 441242825.
What is the area of specialization for Lance Taylor Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lance Taylor Peterson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Lance Taylor Peterson receive its 1205047057 assignment from the Centers for Medicare & Medicaid Services?
The Lance Taylor Peterson was assigned its 1205047057 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information regarding Lance Taylor Peterson most recently updated?
The details pertaining to the Lance Taylor Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.