Guy Maddox is a Clinical in Austin, Texas. Guy Maddox practices all healthcare services and medical treatments related to Clinical. The NPI Number for Guy Maddox is 1417053786. The last update date is 2023-03-23.
Guy Maddox's current location address is 2525 Wallingwood Dr Ste, Austin, Texas. You can contact this provider via phone number 5127752692. The mailing address for Guy Maddox is 2525 Wallingwood Dr Ste, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guy Maddox |
|---|---|
| Address | 2525 Wallingwood Dr Ste, Austin, Texas |
| Phone Number | 5127752692 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417053786 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2023-03-23 |
Provider Mailing Address Detail
| Address | 2525 Wallingwood Dr Ste |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787466926 |
| Phone Number | 5127752692 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4888 |
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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 |
|---|---|---|---|
| 39920602 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Guy Maddox by the Centers for Medicare & Medicaid Services?
The Guy Maddox has been issued the NPI (National Provider Identifier) 1417053786 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Guy Maddox's physical address?
The Guy Maddox is physically located at 2525 Wallingwood Dr Ste, in the city of Austin, TX, with the postal code 787466926.
What is Guy Maddox's specialized field of practice, and what is the corresponding taxonomy classification code?
The Guy Maddox's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Guy Maddox receive its 1417053786?
The Guy Maddox was issued its 1417053786 on 2006-09-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Guy Maddox, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Guy Maddox, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-23.