John W Oldham is a Clinical in Chattanooga, Tennessee. John W Oldham practices all healthcare services and medical treatments related to Clinical. The NPI Number for John W Oldham is 1770635708. The last update date is 2007-07-08.
John W Oldham's current location address is 4066 Hixson Pike, Chattanooga, Tennessee. You can contact this provider via phone number 4238705650 and fax number 4238705638. The mailing address for John W Oldham is 4066 Hixson Pike, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Oldham |
|---|---|
| Address | 4066 Hixson Pike, Chattanooga, Tennessee |
| Phone Number | 4238705650 |
| Fax Number | 4238705638 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770635708 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4066 Hixson Pike |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374153110 |
| Phone Number | 4238705650 |
| Fax Number | 4238705638 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW0957 |
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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 |
|---|---|---|---|
| 142829 | TN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to John W Oldham by the Centers for Medicare & Medicaid Services (CMS)?
The John W Oldham has been assigned the NPI (National Provider Identifier) 1770635708. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John W Oldham is geographically located?
The John W Oldham is physically situated at the following location: 4066 Hixson Pike, Chattanooga, TN, 374153110.
What is the John W Oldham's specialty and taxonomy code?
The John W Oldham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770635708 to John W Oldham?
The Centers for Medicare & Medicaid Services originally issued the 1770635708 to John W Oldham on 2007-01-18.
As of what date were the details related to John W Oldham most recently updated or revised?
The information pertaining to John W Oldham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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