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
Address 819 Water St, Kerrville, Texas
Phone Number 8307923300
Fax Number 8307925771
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1093874265
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 819 Water St
City Kerrville
State Texas (TX)
Post Code 780285333
Phone Number 8307923300
Fax Number 8307925771

Provider's Primary Taxonomy Detail

Speciality Clinical
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
35269 TX LCSW LICENSE

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FAQs about Melissa Kay Waggoner

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.

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