Adrienne Nikisha Logan in Greenwood - Clinical
Adrienne Nikisha Logan - NPI 1275662595
Adrienne Nikisha Logan is a Clinical in Greenwood, South Carolina. Adrienne Nikisha Logan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Adrienne Nikisha Logan is 1275662595. The last update date is 2014-11-14.
Adrienne Nikisha Logan's current location address is 114 Princess Ct, Greenwood, South Carolina. You can contact this provider via phone number 8643889320. The mailing address for Adrienne Nikisha Logan is 114 Princess Ct, Greenwood, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adrienne Nikisha Logan |
|---|---|
| Address | 114 Princess Ct, Greenwood, South Carolina |
| Phone Number | 8643889320 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW-CP |
NPI Number Detail
| NPI Number | 1275662595 |
|---|---|
| Provider Enumeration Date | 2007-03-04 |
| Last Updated Date | 2014-11-14 |
Provider Mailing Address Detail
| Address | 114 Princess Ct |
|---|---|
| City | Greenwood |
| State | South Carolina (SC) |
| Post Code | 296468761 |
| Phone Number | 8643889320 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6765 |
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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 unique 10-digit identification code assigned to Adrienne Nikisha Logan by the Centers for Medicare & Medicaid Services?
The Adrienne Nikisha Logan has been issued the NPI (National Provider Identifier) 1275662595, which 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 Adrienne Nikisha Logan is physically located?
The Adrienne Nikisha Logan is physically situated at the following address: 114 Princess Ct, Greenwood, SC, 296468761.
What is Adrienne Nikisha Logan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Adrienne Nikisha Logan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275662595 to Adrienne Nikisha Logan?
The Centers for Medicare & Medicaid Services assigned the 1275662595 to Adrienne Nikisha Logan on 2007-03-04.
As of what date were the details related to Adrienne Nikisha Logan most recently updated or revised?
The information pertaining to Adrienne Nikisha Logan, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-14.
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