Ronald Mitchell Brizendine in Bristol - Clinical
Ronald Mitchell Brizendine - NPI 1770510653
Ronald Mitchell Brizendine is a Clinical in Bristol, Tennessee. Ronald Mitchell Brizendine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald Mitchell Brizendine is 1770510653. The last update date is 2007-07-08.
Ronald Mitchell Brizendine's current location address is 629 Taylor St, Bristol, Tennessee. You can contact this provider via phone number 4239682225 and fax number 4239682225. The mailing address for Ronald Mitchell Brizendine is 629 Taylor St, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Mitchell Brizendine |
|---|---|
| Address | 629 Taylor St, Bristol, Tennessee |
| Phone Number | 4239682225 |
| Fax Number | 4239682225 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770510653 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 629 Taylor St |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 37620 |
| Phone Number | 4239682225 |
| Fax Number | 4239682225 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 595 |
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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 |
|---|---|---|---|
| 99441 | BCBS OF VA | ||
| 8906416 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ronald Mitchell Brizendine by the Centers for Medicare & Medicaid Services?
The Ronald Mitchell Brizendine has been issued the NPI (National Provider Identifier) 1770510653. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ronald Mitchell Brizendine?
The Ronald Mitchell Brizendine is situated at 629 Taylor St, in the city of Bristol, state of TN, with the zip code 37620.
What is the Ronald Mitchell Brizendine's area of specialization and corresponding taxonomy classification?
The Ronald Mitchell Brizendine's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Ronald Mitchell Brizendine receive its 1770510653 assignment?
The Ronald Mitchell Brizendine was assigned its 1770510653 on 2006-06-27, which is the date when this unique identifier was issued to the organization.
When was the Ronald Mitchell Brizendine's information last updated?
The Ronald Mitchell Brizendine's information was last updated on 2007-07-08.
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