Willie Bethune is a Clinical in Sumter, South Carolina. Willie Bethune practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willie Bethune is 1093887309. The last update date is 2007-07-08.
Willie Bethune's current location address is 410 W Liberty St, Sumter, South Carolina. You can contact this provider via phone number 8037744377. The mailing address for Willie Bethune is 410 W Liberty St, Sumter, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Bethune |
|---|---|
| Address | 410 W Liberty St, Sumter, South Carolina |
| Phone Number | 8037744377 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LISW CP & |
NPI Number Detail
| NPI Number | 1093887309 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 W Liberty St |
|---|---|
| City | Sumter |
| State | South Carolina (SC) |
| Post Code | 291504865 |
| Phone Number | 8037744377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 314 |
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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 |
|---|---|---|---|
| GP4365 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Willie Bethune by the Centers for Medicare & Medicaid Services?
The Willie Bethune has been issued the NPI (National Provider Identifier) 1093887309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Willie Bethune?
The Willie Bethune is situated at 410 W Liberty St, in the city of Sumter, state of SC, with the zip code 291504865.
What is Willie Bethune's specialized field of practice, and what is the corresponding taxonomy classification code?
The Willie Bethune'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 issue the 1093887309 to Willie Bethune?
The Willie Bethune received its 1093887309 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Willie Bethune most recently updated or revised?
The information pertaining to Willie Bethune, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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