Kathryn Anne Landis in Willow Street - Clinical

Kathryn Anne Landis - NPI 1649216060

Kathryn Anne Landis is a Clinical in Willow Street, Pennsylvania. Kathryn Anne Landis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Anne Landis is 1649216060. The last update date is 2007-07-08.

Kathryn Anne Landis's current location address is 2819-0 Willow Street Pike, Willow Street, Pennsylvania. You can contact this provider via phone number 7174641464. The mailing address for Kathryn Anne Landis is 2819-0 Willow Street Pike, Willow Street, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn Anne Landis
Address 2819-0 Willow Street Pike, Willow Street, Pennsylvania
Phone Number 7174641464
Fax Number
Sole Proprietor N
Credentials MSW LSW

NPI Number Detail

NPI Number 1649216060
Provider Enumeration Date 2006-06-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2819-0 Willow Street Pike
City Willow Street
State Pennsylvania (PA)
Post Code 17584
Phone Number 7174641464
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW-011339-L
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
166269 PA VALUE OPTIONS
50006711 PA CAP BLUE CROSS

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FAQs about Kathryn Anne Landis

What is the unique identification code assigned to Kathryn Anne Landis by the Centers for Medicare & Medicaid Services?

The Kathryn Anne Landis has been issued the NPI (National Provider Identifier) 1649216060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kathryn Anne Landis is physically located?

The Kathryn Anne Landis is physically situated at the following address: 2819-0 Willow Street Pike, Willow Street, PA, 17584.

What is Kathryn Anne Landis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kathryn Anne Landis is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649216060 to Kathryn Anne Landis?

The Centers for Medicare & Medicaid Services originally issued the 1649216060 to Kathryn Anne Landis on 2006-06-22.

When was the information regarding Kathryn Anne Landis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kathryn Anne Landis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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