Wendy Kilpatrick Bovell in Chattanooga - Clinical

Wendy Kilpatrick Bovell - NPI 1720079379

Wendy Kilpatrick Bovell is a Clinical in Chattanooga, Tennessee. Wendy Kilpatrick Bovell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wendy Kilpatrick Bovell is 1720079379. The last update date is 2007-07-09.

Wendy Kilpatrick Bovell's current location address is 101 Jordan Dr, Chattanooga, Tennessee. You can contact this provider via phone number 4235101999 and fax number 4235101888. The mailing address for Wendy Kilpatrick Bovell is 101 Jordan Dr, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Wendy Kilpatrick Bovell
Address 101 Jordan Dr, Chattanooga, Tennessee
Phone Number 4235101999
Fax Number 4235101888
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1720079379
Provider Enumeration Date 2005-11-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 101 Jordan Dr
City Chattanooga
State Tennessee (TN)
Post Code 374216732
Phone Number 4235101999
Fax Number 4235101888

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4277
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22634 VMC
3925616 TN --
213933 COMPSYCH
4045771 BCBS

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FAQs about Wendy Kilpatrick Bovell

What is the unique 10-digit identification code issued to Wendy Kilpatrick Bovell by the Centers for Medicare & Medicaid Services?

The Wendy Kilpatrick Bovell has been assigned the NPI (National Provider Identifier) 1720079379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Wendy Kilpatrick Bovell is geographically located?

The Wendy Kilpatrick Bovell is physically situated at the following location: 101 Jordan Dr, Chattanooga, TN, 374216732.

What is Wendy Kilpatrick Bovell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Wendy Kilpatrick Bovell is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Wendy Kilpatrick Bovell receive its 1720079379 assignment?

The Wendy Kilpatrick Bovell was assigned its 1720079379 on 2005-11-02, which is the date when this unique identifier was issued to the organization.

As of what date were the Wendy Kilpatrick Bovell's details last updated?

The information pertaining to the Wendy Kilpatrick Bovell, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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