Tammy R. Moody is a Clinical in Johnson City, Tennessee. Tammy R. Moody practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tammy R. Moody is 1528132016. The last update date is 2008-05-10.
Tammy R. Moody's current location address is 332 E Springbrook Dr, Johnson City, Tennessee. You can contact this provider via phone number 4232821394 and fax number 4232821394. The mailing address for Tammy R. Moody is 332 E Springbrook Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy R. Moody |
|---|---|
| Address | 332 E Springbrook Dr, Johnson City, Tennessee |
| Phone Number | 4232821394 |
| Fax Number | 4232821394 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528132016 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2008-05-10 |
Provider Mailing Address Detail
| Address | 332 E Springbrook Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011767 |
| Phone Number | 4232821394 |
| Fax Number | 4232821394 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW 876 |
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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 |
|---|---|---|---|
| 4094498 | TN | BLUE CROSS BLUE SHIELD | |
| 3927687 | TN | -- |
Post Comment/ Review Below
What is the Tammy R. Moody's unique identification number?
The Tammy R. Moody has been assigned the NPI (National Provider Identifier) Number 1528132016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Tammy R. Moody?
The Tammy R. Moody is physically situated at 332 E Springbrook Dr, in the city of Johnson City, state of TN, with the postal code 376011767.
What is Tammy R. Moody's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tammy R. Moody's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528132016 to Tammy R. Moody?
The Tammy R. Moody received its 1528132016 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date was the information regarding Tammy R. Moody, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tammy R. Moody, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-10.
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