Chuck Staats is a Clinical in Wichita Falls, Texas. Chuck Staats practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chuck Staats is 1629077995. The last update date is 2012-10-09.
Chuck Staats's current location address is 1808 Rose St, Wichita Falls, Texas. You can contact this provider via phone number 9407234488 and fax number 9407230446. The mailing address for Chuck Staats is 1808 Rose St, Wichita Falls, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chuck Staats |
|---|---|
| Address | 1808 Rose St, Wichita Falls, Texas |
| Phone Number | 9407234488 |
| Fax Number | 9407230446 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629077995 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 1808 Rose St |
|---|---|
| City | Wichita Falls |
| State | Texas (TX) |
| Post Code | 763014219 |
| Phone Number | 9407234488 |
| Fax Number | 9407230446 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S06187 |
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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 |
|---|---|---|---|
| 64152401 | TX | -- | |
| 123721 | TX | SUPERIOR | |
| 00558M | TX | BLUE CROSS BLUE SHIELD | |
| 125047 | TX | MHN MANAGED HEALTH NETWOR | |
| 5241400 | TX | AETNA BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Chuck Staats by the Centers for Medicare & Medicaid Services (CMS)?
The Chuck Staats has been assigned the NPI (National Provider Identifier) 1629077995. 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 Chuck Staats's facilities are situated?
The facilities of Chuck Staats are physically located at the following address: 1808 Rose St, Wichita Falls, TX, 763014219.
What is Chuck Staats's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chuck Staats's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Chuck Staats receive its 1629077995 assignment from the Centers for Medicare & Medicaid Services?
The Chuck Staats was assigned its 1629077995 by the Centers for Medicare & Medicaid Services on 2005-07-19.
When was the Chuck Staats's information last updated?
The Chuck Staats's information was last updated on 2012-10-09.