Sally Gaines Fussell in Austin - Clinical
Sally Gaines Fussell - NPI 1093932469
Sally Gaines Fussell is a Clinical in Austin, Texas. Sally Gaines Fussell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally Gaines Fussell is 1093932469. The last update date is 2012-03-08.
Sally Gaines Fussell's current location address is 6601 Northeast Dr, Austin, Texas. You can contact this provider via phone number 5129717901. The mailing address for Sally Gaines Fussell is 6601 Northeast Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally Gaines Fussell |
|---|---|
| Address | 6601 Northeast Dr, Austin, Texas |
| Phone Number | 5129717901 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093932469 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 6601 Northeast Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787232126 |
| Phone Number | 5129717901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12334 |
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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 |
|---|---|---|---|
| 158286801 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sally Gaines Fussell?
The Sally Gaines Fussell has been issued the NPI (National Provider Identifier) 1093932469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sally Gaines Fussell?
The Sally Gaines Fussell is physically situated at 6601 Northeast Dr, in the city of Austin, state of TX, with the postal code 787232126.
What is Sally Gaines Fussell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sally Gaines Fussell is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Sally Gaines Fussell receive its 1093932469 assignment from the Centers for Medicare & Medicaid Services?
The Sally Gaines Fussell was assigned its 1093932469 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the information regarding Sally Gaines Fussell most recently updated?
The details pertaining to the Sally Gaines Fussell, including its address, specialty, and other relevant information, were last refreshed on 2012-03-08.
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