Melissa Kay Waggoner in Kerrville - Clinical
Melissa Kay Waggoner - NPI 1093874265
Melissa Kay Waggoner is a Clinical in Kerrville, Texas. Melissa Kay Waggoner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa Kay Waggoner is 1093874265. The last update date is 2007-07-08.
Melissa Kay Waggoner's current location address is 819 Water St, Kerrville, Texas. You can contact this provider via phone number 8307923300 and fax number 8307925771. The mailing address for Melissa Kay Waggoner is 819 Water St, Kerrville, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Melissa Kay Waggoner |
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Address | 819 Water St, Kerrville, Texas |
Phone Number | 8307923300 |
Fax Number | 8307925771 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1093874265 |
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Provider Enumeration Date | 2006-12-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 819 Water St |
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City | Kerrville |
State | Texas (TX) |
Post Code | 780285333 |
Phone Number | 8307923300 |
Fax Number | 8307925771 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 35269 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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35269 | TX | LCSW LICENSE |
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What is the unique 10-digit identifier code assigned to Melissa Kay Waggoner by the Centers for Medicare & Medicaid Services?
The Melissa Kay Waggoner has been issued the NPI (National Provider Identifier) 1093874265 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Melissa Kay Waggoner?
The Melissa Kay Waggoner is physically situated at 819 Water St, in the city of Kerrville, state of TX, with the postal code 780285333.
What is Melissa Kay Waggoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melissa Kay Waggoner is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Melissa Kay Waggoner receive the assignment of its 1093874265 from the Centers for Medicare & Medicaid Services?
The Melissa Kay Waggoner was issued its 1093874265 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date were the Melissa Kay Waggoner's details last updated?
The information pertaining to the Melissa Kay Waggoner, including its address, specialty, and other details, was most recently updated on 2007-07-08.