Traci M Wendell is a Clinical in Corvallis, Oregon. Traci M Wendell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traci M Wendell is 1376623421. The last update date is 2007-07-08.
Traci M Wendell's current location address is 530 Nw 27th St, Corvallis, Oregon. You can contact this provider via phone number 5417666171 and fax number 5417666186. The mailing address for Traci M Wendell is 530 Nw 27th St, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci M Wendell |
|---|---|
| Address | 530 Nw 27th St, Corvallis, Oregon |
| Phone Number | 5417666171 |
| Fax Number | 5417666186 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1376623421 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Nw 27th St |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973305223 |
| Phone Number | 5417666171 |
| Fax Number | 5417666186 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 110504 |
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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 Traci M Wendell's unique identification number?
The Traci M Wendell has been assigned the NPI (National Provider Identifier) Number 1376623421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Traci M Wendell is located?
The Traci M Wendell is situated at the following address: 530 Nw 27Th St, Corvallis, OR, 973305223.
What is Traci M Wendell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Traci M Wendell'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 Centers for Medicare & Medicaid Services issue the 1376623421 to Traci M Wendell?
The Traci M Wendell received its 1376623421 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the Traci M Wendell's information last updated?
The Traci M Wendell's information was last updated on 2007-07-08.