Carol Brockmon in Elkins Park - Clinical

Carol Brockmon - NPI 1518142199

Carol Brockmon is a Clinical in Elkins Park, Pennsylvania. Carol Brockmon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Brockmon is 1518142199. The last update date is 2008-01-02.

Carol Brockmon's current location address is 7919 Park Ave Apt 1, Elkins Park, Pennsylvania. You can contact this provider via phone number 2157821484 and fax number 2157801848. The mailing address for Carol Brockmon is 7919 Park Ave Apt 1, Elkins Park, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Brockmon
Address 7919 Park Ave Apt 1, Elkins Park, Pennsylvania
Phone Number 2157821484
Fax Number 2157801848
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1518142199
Provider Enumeration Date 2008-01-02
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 7919 Park Ave Apt 1
City Elkins Park
State Pennsylvania (PA)
Post Code 190272645
Phone Number 2157821484
Fax Number 2157801848

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW000904L
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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FAQs about Carol Brockmon

What is the unique identifier code issued to Carol Brockmon by the Centers for Medicare & Medicaid Services (CMS)?

The Carol Brockmon has been assigned the NPI (National Provider Identifier) 1518142199. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Carol Brockmon is located?

The Carol Brockmon is situated at the following address: 7919 Park Ave Apt 1, Elkins Park, PA, 190272645.

What is Carol Brockmon'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 Carol Brockmon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Carol Brockmon receive the assignment of its 1518142199 from the Centers for Medicare & Medicaid Services?

The Carol Brockmon was issued its 1518142199 by the Centers for Medicare & Medicaid Services on 2008-01-02.

When was the information related to Carol Brockmon most recently updated or refreshed?

The details pertaining to the Carol Brockmon, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-02.

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