Sandra June Russell in Shelbyville - Clinical
Sandra June Russell - NPI 1366627473
Sandra June Russell is a Clinical in Shelbyville, Tennessee. Sandra June Russell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra June Russell is 1366627473. The last update date is 2008-01-08.
Sandra June Russell's current location address is 604 S Wall St, Shelbyville, Tennessee. You can contact this provider via phone number 9316840522. The mailing address for Sandra June Russell is 604 S Wall St, Shelbyville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandra June Russell |
---|---|
Address | 604 S Wall St, Shelbyville, Tennessee |
Phone Number | 9316840522 |
Fax Number | |
Sole Proprietor | N |
Credentials | CMSW |
NPI Number Detail
NPI Number | 1366627473 |
---|---|
Provider Enumeration Date | 2008-01-08 |
Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
Address | 604 S Wall St |
---|---|
City | Shelbyville |
State | Tennessee (TN) |
Post Code | 371603797 |
Phone Number | 9316840522 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
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 |
---|---|---|---|
4569 | TN | CMSW |
Post Comment/ Review Below
What is the Sandra June Russell's 1366627473?
The Sandra June Russell's NPI (National Provider Identifier) Number is 1366627473. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sandra June Russell is physically located?
The Sandra June Russell is situated at the following address: 604 S Wall St, Shelbyville, TN 371603797.
What is the Sandra June Russell's area of specialization and corresponding taxonomy classification?
The Sandra June Russell's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1366627473 to Sandra June Russell?
The Sandra June Russell received its 1366627473 assignment from the Centers for Medicare & Medicaid Services on 2008-01-08.
As of what date were the details related to Sandra June Russell most recently updated or revised?
The information pertaining to Sandra June Russell, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN