Terri Kay Lively is a Clinical in Stafford, Texas. Terri Kay Lively practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terri Kay Lively is 1568511442. The last update date is 2007-07-08.
Terri Kay Lively's current location address is 10707 Corporate Dr, Stafford, Texas. You can contact this provider via phone number 2814949100 and fax number 2814949115. The mailing address for Terri Kay Lively is 10707 Corporate Dr, Stafford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri Kay Lively |
|---|---|
| Address | 10707 Corporate Dr, Stafford, Texas |
| Phone Number | 2814949100 |
| Fax Number | 2814949115 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568511442 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10707 Corporate Dr |
|---|---|
| City | Stafford |
| State | Texas (TX) |
| Post Code | 774774095 |
| Phone Number | 2814949100 |
| Fax Number | 2814949115 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 30979 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Terri Kay Lively by the Centers for Medicare & Medicaid Services (CMS)?
The Terri Kay Lively has been assigned the NPI (National Provider Identifier) 1568511442. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Terri Kay Lively's facilities are situated?
The facilities of Terri Kay Lively are physically located at the following address: 10707 Corporate Dr, Stafford, TX, 774774095.
What is Terri Kay Lively's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terri Kay Lively is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Terri Kay Lively receive the assignment of its 1568511442 from the Centers for Medicare & Medicaid Services?
The Terri Kay Lively was issued its 1568511442 by the Centers for Medicare & Medicaid Services on 2007-01-09.
As of what date was the information pertaining to Terri Kay Lively, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Terri Kay Lively, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH