Keenan Greg Carley is a Clinical in Lubbock, Texas. Keenan Greg Carley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keenan Greg Carley is 1417056946. The last update date is 2015-08-03.
Keenan Greg Carley's current location address is 2214 94th St, Lubbock, Texas. You can contact this provider via phone number 8067891379. The mailing address for Keenan Greg Carley is 2214 94th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keenan Greg Carley |
|---|---|
| Address | 2214 94th St, Lubbock, Texas |
| Phone Number | 8067891379 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417056946 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2015-08-03 |
Provider Mailing Address Detail
| Address | 2214 94th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794234412 |
| Phone Number | 8067891379 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 32627 |
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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 unique identifier code issued to Keenan Greg Carley by the Centers for Medicare & Medicaid Services (CMS)?
The Keenan Greg Carley has been assigned the NPI (National Provider Identifier) 1417056946. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Keenan Greg Carley is located?
The Keenan Greg Carley is situated at the following address: 2214 94Th St, Lubbock, TX, 794234412.
What is Keenan Greg Carley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keenan Greg Carley is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Keenan Greg Carley receive the assignment of its 1417056946 from the Centers for Medicare & Medicaid Services?
The Keenan Greg Carley was issued its 1417056946 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the Keenan Greg Carley's information last updated?
The Keenan Greg Carley's information was last updated on 2015-08-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY