Jerry Wayne Fleming in Brownwood - Clinical
Jerry Wayne Fleming - NPI 1366536716
Jerry Wayne Fleming is a Clinical in Brownwood, Texas. Jerry Wayne Fleming practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Wayne Fleming is 1366536716. The last update date is 2022-07-21.
Jerry Wayne Fleming's current location address is P.o. Box 1391, Brownwood, Texas. You can contact this provider via phone number 3256494357 and fax number 3256460919. The mailing address for Jerry Wayne Fleming is P.o. Box 1391, Brownwood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wayne Fleming |
|---|---|
| Address | P.o. Box 1391, Brownwood, Texas |
| Phone Number | 3256494357 |
| Fax Number | 3256460919 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1366536716 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | P.o. Box 1391 |
|---|---|
| City | Brownwood |
| State | Texas (TX) |
| Post Code | 76804 |
| Phone Number | 3256494357 |
| Fax Number | 3256460919 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 289 |
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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 |
|---|---|---|---|
| 117825302 | TX | -- | |
| 117825305 | TX | -- | |
| 117825301 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Wayne Fleming by the Centers for Medicare & Medicaid Services?
The Jerry Wayne Fleming has been issued the NPI (National Provider Identifier) 1366536716 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerry Wayne Fleming is physically located?
The Jerry Wayne Fleming is situated at the following address: P.O. Box 1391, Brownwood, TX 76804.
What is Jerry Wayne Fleming's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Wayne Fleming's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Jerry Wayne Fleming receive its 1366536716?
The Jerry Wayne Fleming was issued its 1366536716 on 2006-10-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Jerry Wayne Fleming's details last updated?
The information pertaining to the Jerry Wayne Fleming, including its address, specialty, and other details, was most recently updated on 2022-07-21.
NPI Number: 1063415297
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