Stacy Prince Park is a Clinical in Oak Ridge, Tennessee. Stacy Prince Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Prince Park is 1326115916. The last update date is 2007-07-08.
Stacy Prince Park's current location address is 240 W Tyrone Rd, Oak Ridge, Tennessee. You can contact this provider via phone number 8654821076 and fax number 8654816179. The mailing address for Stacy Prince Park is 240 W Tyrone Rd, Oak Ridge, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Prince Park |
|---|---|
| Address | 240 W Tyrone Rd, Oak Ridge, Tennessee |
| Phone Number | 8654821076 |
| Fax Number | 8654816179 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1326115916 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 240 W Tyrone Rd |
|---|---|
| City | Oak Ridge |
| State | Tennessee (TN) |
| Post Code | 378306517 |
| Phone Number | 8654821076 |
| Fax Number | 8654816179 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1219 |
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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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What is the unique 10-digit identifier code issued to Stacy Prince Park by the Centers for Medicare & Medicaid Services?
The Stacy Prince Park has been assigned the NPI (National Provider Identifier) 1326115916 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stacy Prince Park's facilities are geographically located?
The facilities of Stacy Prince Park are physically situated at the following location: 240 W Tyrone Rd, Oak Ridge, TN, 378306517.
What is Stacy Prince Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Prince Park is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Stacy Prince Park receive the assignment of its 1326115916 from the Centers for Medicare & Medicaid Services?
The Stacy Prince Park was issued its 1326115916 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the Stacy Prince Park's details last updated?
The information pertaining to the Stacy Prince Park, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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