Kim Meredith is a Clinical in Philadelphia, Pennsylvania. Kim Meredith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Meredith is 1821292053. The last update date is 2020-08-22.
Kim Meredith's current location address is 1823 Callowhill St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2124960707 and fax number 2154960742. The mailing address for Kim Meredith is 1823 Callowhill St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kim Meredith |
|---|---|
| Address | 1823 Callowhill St, Philadelphia, Pennsylvania |
| Phone Number | 2124960707 |
| Fax Number | 2154960742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Ettingoff Andrea |
| Telephone Number | 2154969797 |
NPI Number Detail
| NPI Number | 1821292053 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1823 Callowhill St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191304109 |
| Phone Number | 2124960707 |
| Fax Number | 2154960742 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014399 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kim Meredith?
The Kim Meredith has been issued the NPI (National Provider Identifier) 1821292053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kim Meredith is physically located?
The Kim Meredith is physically situated at the following address: 1823 Callowhill St, Philadelphia, PA, 191304109.
What is Kim Meredith'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 Kim Meredith is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821292053 to Kim Meredith?
The Centers for Medicare & Medicaid Services originally issued the 1821292053 to Kim Meredith on 2007-06-12.
When was the information related to Kim Meredith most recently updated or refreshed?
The details pertaining to the Kim Meredith, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.