Jorge Antonio Perdomo in Williamston - Clinical
Jorge Antonio Perdomo - NPI 1275676892
Jorge Antonio Perdomo is a Clinical in Williamston, South Carolina. Jorge Antonio Perdomo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jorge Antonio Perdomo is 1275676892. The last update date is 2007-07-08.
Jorge Antonio Perdomo's current location address is 900 Greenville Drive, Williamston, South Carolina. You can contact this provider via phone number 8648471818 and fax number 8648475706. The mailing address for Jorge Antonio Perdomo is 900 Greenville Drive, Williamston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge Antonio Perdomo |
|---|---|
| Address | 900 Greenville Drive, Williamston, South Carolina |
| Phone Number | 8648471818 |
| Fax Number | 8648475706 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1275676892 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 900 Greenville Drive |
|---|---|
| City | Williamston |
| State | South Carolina (SC) |
| Post Code | 29697 |
| Phone Number | 8648471818 |
| Fax Number | 8648475706 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100 | SC | LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jorge Antonio Perdomo by the Centers for Medicare & Medicaid Services?
The Jorge Antonio Perdomo has been assigned the NPI (National Provider Identifier) 1275676892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jorge Antonio Perdomo located?
The Jorge Antonio Perdomo is located at 900 Greenville Drive, Williamston, SC 29697.
What is Jorge Antonio Perdomo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jorge Antonio Perdomo's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Jorge Antonio Perdomo receive its 1275676892 assignment?
The Jorge Antonio Perdomo was assigned its 1275676892 on 2007-02-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jorge Antonio Perdomo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jorge Antonio Perdomo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY