Kenneth Ray Placke is a Clinical in Lufkin, Texas. Kenneth Ray Placke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Ray Placke is 1093874836. The last update date is 2007-07-09.
Kenneth Ray Placke's current location address is 4101 S Medford Dr, Lufkin, Texas. You can contact this provider via phone number 9366391141. The mailing address for Kenneth Ray Placke is 4101 S Medford Dr, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ray Placke |
|---|---|
| Address | 4101 S Medford Dr, Lufkin, Texas |
| Phone Number | 9366391141 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093874836 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4101 S Medford Dr |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759015633 |
| Phone Number | 9366391141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 26856 |
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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 |
|---|---|---|---|
| 86136Q | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Ray Placke by the Centers for Medicare & Medicaid Services?
The Kenneth Ray Placke has been assigned the NPI (National Provider Identifier) 1093874836 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth Ray Placke's facilities are geographically located?
The facilities of Kenneth Ray Placke are physically situated at the following location: 4101 S Medford Dr, Lufkin, TX, 759015633.
What is the Kenneth Ray Placke's specialty and taxonomy code?
The Kenneth Ray Placke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093874836 to Kenneth Ray Placke?
The Centers for Medicare & Medicaid Services originally issued the 1093874836 to Kenneth Ray Placke on 2006-12-07.
As of what date were the details related to Kenneth Ray Placke most recently updated or revised?
The information pertaining to Kenneth Ray Placke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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