Otis Sumlin is a Clinical in Memphis, Tennessee. Otis Sumlin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Otis Sumlin is 1508977448. The last update date is 2007-07-08.
Otis Sumlin's current location address is 1355 Lynnfield Rd, Memphis, Tennessee. You can contact this provider via phone number 9018185433. The mailing address for Otis Sumlin is 1355 Lynnfield Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Sumlin |
|---|---|
| Address | 1355 Lynnfield Rd, Memphis, Tennessee |
| Phone Number | 9018185433 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1508977448 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1355 Lynnfield Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381195801 |
| Phone Number | 9018185433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW3241 |
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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 |
|---|---|---|---|
| 4080319 | TN | B/C | |
| 342576 | MANAGED HEALTH N/W |
Post Comment/ Review Below
What is the Otis Sumlin's 1508977448?
The Otis Sumlin's NPI (National Provider Identifier) Number is 1508977448. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Otis Sumlin is geographically located?
The Otis Sumlin is physically situated at the following location: 1355 Lynnfield Rd, Memphis, TN, 381195801.
What is Otis Sumlin's area of expertise and its corresponding taxonomy classification?
The Otis Sumlin's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1508977448 assigned to Otis Sumlin?
The Otis Sumlin was issued its 1508977448 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Otis Sumlin most recently updated or revised?
The information pertaining to Otis Sumlin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.