Community Resource Professionals in Claremore - Clinical

Community Resource Professionals - NPI 1821211087

Community Resource Professionals is a Clinical in Claremore, Oklahoma. Community Resource Professionals practices all healthcare services and medical treatments related to Clinical. The NPI Number for Community Resource Professionals is 1821211087. The last update date is 2009-09-10.

Community Resource Professionals's current location address is 304 W Will Rogers Blvd, Claremore, Oklahoma. You can contact this provider via phone number 9183433456 and fax number 9183433456. The mailing address for Community Resource Professionals is 304 W Will Rogers Blvd, Claremore, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Resource Professionals
Address 304 W Will Rogers Blvd, Claremore, Oklahoma
Phone Number 9183433456
Fax Number 9183433456
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL S
Authorized Official Name Wilson Gary
Credentials LCSW, LADC
Telephone Number 9183433456

NPI Number Detail

NPI Number 1821211087
Provider Enumeration Date 2007-04-10
Last Updated Date 2009-09-10

Provider Mailing Address Detail

Address 304 W Will Rogers Blvd
City Claremore
State Oklahoma (OK)
Post Code 740177022
Phone Number 9183433456
Fax Number 9183433456

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1175
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
1175 OK SOCIAL WORK LICENSE
562 OK LADC LICENSE NUMBER

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FAQs about Community Resource Professionals

What is the unique provider identifier assigned to Community Resource Professionals?

The Community Resource Professionals has been issued the NPI (National Provider Identifier) 1821211087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Community Resource Professionals's facilities are situated?

The facilities of Community Resource Professionals are physically located at the following address: 304 W Will Rogers Blvd, Claremore, OK, 740177022.

What is Community Resource Professionals's area of expertise and its corresponding taxonomy classification?

The Community Resource Professionals'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 Community Resource Professionals receive its 1821211087 assignment from the Centers for Medicare & Medicaid Services?

The Community Resource Professionals was assigned its 1821211087 by the Centers for Medicare & Medicaid Services on 2007-04-10.

When was the information regarding Community Resource Professionals, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Community Resource Professionals, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-10.

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