Carla Porretta Sprague in Dallas - Clinical
Carla Porretta Sprague - NPI 1699844472
Carla Porretta Sprague is a Clinical in Dallas, Texas. Carla Porretta Sprague practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carla Porretta Sprague is 1699844472. The last update date is 2007-07-08.
Carla Porretta Sprague's current location address is 2995 Lbj Frwy, Dallas, Texas. You can contact this provider via phone number 9726201889. The mailing address for Carla Porretta Sprague is 2995 Lbj Frwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Porretta Sprague |
|---|---|
| Address | 2995 Lbj Frwy, Dallas, Texas |
| Phone Number | 9726201889 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1699844472 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2995 Lbj Frwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 75234 |
| Phone Number | 9726201889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 519773 |
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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 |
|---|---|---|---|
| 0040JN | BLUE CROSS BL SHIELD | ||
| S19773 | TX | CLINICAL SOC WORKER LIC | |
| 10008847 | TX | AMERIGROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Carla Porretta Sprague by the Centers for Medicare & Medicaid Services (CMS)?
The Carla Porretta Sprague has been assigned the NPI (National Provider Identifier) 1699844472. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Carla Porretta Sprague's facilities are situated?
The facilities of Carla Porretta Sprague are physically located at the following address: 2995 Lbj Frwy, Dallas, TX, 75234.
What is Carla Porretta Sprague's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carla Porretta Sprague is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Carla Porretta Sprague receive its 1699844472?
The Carla Porretta Sprague was issued its 1699844472 on 2006-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Carla Porretta Sprague most recently updated or revised?
The information pertaining to Carla Porretta Sprague, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.