Lisa Vantriest-Peade is a Clinical in Ada, Oklahoma. Lisa Vantriest-Peade practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Vantriest-Peade is 1568498467. The last update date is 2008-12-22.
Lisa Vantriest-Peade's current location address is 2100 N Broadway Ave, Ada, Oklahoma. You can contact this provider via phone number 5804367120 and fax number 5804367121. The mailing address for Lisa Vantriest-Peade is 2100 N Broadway Ave, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Vantriest-Peade |
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Address | 2100 N Broadway Ave, Ada, Oklahoma |
Phone Number | 5804367120 |
Fax Number | 5804367121 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1568498467 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2008-12-22 |
Provider Mailing Address Detail
Address | 2100 N Broadway Ave |
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City | Ada |
State | Oklahoma (OK) |
Post Code | 748201048 |
Phone Number | 5804367120 |
Fax Number | 5804367121 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2965 |
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 Lisa Vantriest-Peade by the Centers for Medicare & Medicaid Services?
The Lisa Vantriest-Peade has been assigned the NPI (National Provider Identifier) 1568498467 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa Vantriest-Peade?
The Lisa Vantriest-Peade is situated at 2100 N Broadway Ave, in the city of Ada, state of OK, with the zip code 748201048.
What is Lisa Vantriest-Peade's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Vantriest-Peade is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Lisa Vantriest-Peade's 1568498467 issued?
The Lisa Vantriest-Peade's 1568498467 was issued on 2006-06-23.
When was the information pertaining to Lisa Vantriest-Peade most recently updated or revised?
The details related to Lisa Vantriest-Peade, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-22.