Stella Lynn Anderson in Rockport - Clinical
Stella Lynn Anderson - NPI 1710189576
Stella Lynn Anderson is a Clinical in Rockport, Texas. Stella Lynn Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stella Lynn Anderson is 1710189576. The last update date is 2007-07-08.
Stella Lynn Anderson's current location address is 413 Palmetto Point Rd, Rockport, Texas. You can contact this provider via phone number 3617277301. The mailing address for Stella Lynn Anderson is 413 Palmetto Point Rd, Rockport, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stella Lynn Anderson |
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Address | 413 Palmetto Point Rd, Rockport, Texas |
Phone Number | 3617277301 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1710189576 |
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Provider Enumeration Date | 2007-06-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 413 Palmetto Point Rd |
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City | Rockport |
State | Texas (TX) |
Post Code | 783829363 |
Phone Number | 3617277301 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 36574 |
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 |
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36574 | TX | LCSW (SOCIAL WORK LICENSE |
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What is the Stella Lynn Anderson's unique identification number?
The Stella Lynn Anderson has been assigned the NPI (National Provider Identifier) Number 1710189576 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Stella Lynn Anderson is geographically located?
The Stella Lynn Anderson is physically situated at the following location: 413 Palmetto Point Rd, Rockport, TX, 783829363.
What is Stella Lynn Anderson'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 Stella Lynn Anderson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Stella Lynn Anderson receive its 1710189576 assignment from the Centers for Medicare & Medicaid Services?
The Stella Lynn Anderson was assigned its 1710189576 on 2007-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stella Lynn Anderson's details last updated?
The information pertaining to the Stella Lynn Anderson, including its address, specialty, and other details, was most recently updated on 2007-07-08.