Roberta Borden Ketchum in Houston - Clinical
Roberta Borden Ketchum - NPI 1992888986
Roberta Borden Ketchum is a Clinical in Houston, Texas. Roberta Borden Ketchum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roberta Borden Ketchum is 1992888986. The last update date is 2007-07-08.
Roberta Borden Ketchum's current location address is 2425 Fountain View Dr, Houston, Texas. You can contact this provider via phone number 7137804644 and fax number 7137802600. The mailing address for Roberta Borden Ketchum is 2425 Fountain View Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta Borden Ketchum |
|---|---|
| Address | 2425 Fountain View Dr, Houston, Texas |
| Phone Number | 7137804644 |
| Fax Number | 7137802600 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992888986 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2425 Fountain View Dr |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770574823 |
| Phone Number | 7137804644 |
| Fax Number | 7137802600 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 478 |
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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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What is the Roberta Borden Ketchum's 1992888986?
The Roberta Borden Ketchum's NPI (National Provider Identifier) Number is 1992888986. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roberta Borden Ketchum located?
The Roberta Borden Ketchum is located at 2425 Fountain View Dr, Houston, TX 770574823.
What is Roberta Borden Ketchum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roberta Borden Ketchum's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Roberta Borden Ketchum receive the assignment of its 1992888986 from the Centers for Medicare & Medicaid Services?
The Roberta Borden Ketchum was issued its 1992888986 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the Roberta Borden Ketchum's information last updated?
The Roberta Borden Ketchum's information was last updated on 2007-07-08.
NPI Number: 1649248733
Address: 1699 Sw Southworth Ter, Port St Lucie, FL