Darrell Lee Spates in Missouri City - Clinical
Darrell Lee Spates - NPI 1285644757
Darrell Lee Spates is a Clinical in Missouri City, Texas. Darrell Lee Spates practices all healthcare services and medical treatments related to Clinical. The NPI Number for Darrell Lee Spates is 1285644757. The last update date is 2007-07-08.
Darrell Lee Spates's current location address is 1916 Wildwood Ridge Dr, Missouri City, Texas. You can contact this provider via phone number 7137911414. The mailing address for Darrell Lee Spates is 1916 Wildwood Ridge Dr, Missouri City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell Lee Spates |
|---|---|
| Address | 1916 Wildwood Ridge Dr, Missouri City, Texas |
| Phone Number | 7137911414 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW, LCCA |
NPI Number Detail
| NPI Number | 1285644757 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1916 Wildwood Ridge Dr |
|---|---|
| City | Missouri City |
| State | Texas (TX) |
| Post Code | 774893063 |
| Phone Number | 7137911414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S24208 |
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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 10-digit identifier code issued to Darrell Lee Spates by the Centers for Medicare & Medicaid Services?
The Darrell Lee Spates has been assigned the NPI (National Provider Identifier) 1285644757 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Darrell Lee Spates?
The Darrell Lee Spates is situated at 1916 Wildwood Ridge Dr, in the city of Missouri City, state of TX, with the zip code 774893063.
What is the Darrell Lee Spates's area of specialization and corresponding taxonomy classification?
The Darrell Lee Spates's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285644757 to Darrell Lee Spates?
The Centers for Medicare & Medicaid Services originally issued the 1285644757 to Darrell Lee Spates on 2006-08-08.
As of what date were the Darrell Lee Spates's details last updated?
The information pertaining to the Darrell Lee Spates, including its address, specialty, and other details, was most recently updated on 2007-07-08.