Kenneth H Stephenson in Red Oak - Clinical
Kenneth H Stephenson - NPI 1477689750
Kenneth H Stephenson is a Clinical in Red Oak, Texas. Kenneth H Stephenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth H Stephenson is 1477689750. The last update date is 2014-08-11.
Kenneth H Stephenson's current location address is 328 Pierce Rd, Red Oak, Texas. You can contact this provider via phone number 9727418093. The mailing address for Kenneth H Stephenson is 328 Pierce Rd, Red Oak, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth H Stephenson |
|---|---|
| Address | 328 Pierce Rd, Red Oak, Texas |
| Phone Number | 9727418093 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, LCDC |
NPI Number Detail
| NPI Number | 1477689750 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 328 Pierce Rd |
|---|---|
| City | Red Oak |
| State | Texas (TX) |
| Post Code | 751546418 |
| Phone Number | 9727418093 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 30009 |
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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 |
|---|---|---|---|
| 11559639 | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth H Stephenson by the Centers for Medicare & Medicaid Services?
The Kenneth H Stephenson has been assigned the NPI (National Provider Identifier) 1477689750 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kenneth H Stephenson located?
The Kenneth H Stephenson is located at 328 Pierce Rd, Red Oak, TX 751546418.
What is Kenneth H Stephenson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth H Stephenson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477689750 to Kenneth H Stephenson?
The Centers for Medicare & Medicaid Services originally issued the 1477689750 to Kenneth H Stephenson on 2007-02-23.
As of what date was the information regarding Kenneth H Stephenson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth H Stephenson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-11.
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