Bethany Paige Bledsoe in Jackson - Clinical

Bethany Paige Bledsoe - NPI 1831298587

Bethany Paige Bledsoe is a Clinical in Jackson, Tennessee. Bethany Paige Bledsoe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bethany Paige Bledsoe is 1831298587. The last update date is 2007-07-08.

Bethany Paige Bledsoe's current location address is 66 Lynwood Dr, Jackson, Tennessee. You can contact this provider via phone number 7316951339. The mailing address for Bethany Paige Bledsoe is 66 Lynwood Dr, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Bethany Paige Bledsoe
Address 66 Lynwood Dr, Jackson, Tennessee
Phone Number 7316951339
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1831298587
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 66 Lynwood Dr
City Jackson
State Tennessee (TN)
Post Code 383014235
Phone Number 7316951339
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4468
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
4138245 TN BCBS - TN
3987481 TN --

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FAQs about Bethany Paige Bledsoe

What is the unique identifier code issued to Bethany Paige Bledsoe by the Centers for Medicare & Medicaid Services (CMS)?

The Bethany Paige Bledsoe has been assigned the NPI (National Provider Identifier) 1831298587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Bethany Paige Bledsoe?

The Bethany Paige Bledsoe is situated at 66 Lynwood Dr, in the city of Jackson, state of TN, with the zip code 383014235.

What is Bethany Paige Bledsoe's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bethany Paige Bledsoe'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 originally issue the 1831298587 to Bethany Paige Bledsoe?

The Centers for Medicare & Medicaid Services originally issued the 1831298587 to Bethany Paige Bledsoe on 2006-09-21.

As of what date was the information regarding Bethany Paige Bledsoe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bethany Paige Bledsoe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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