Clark B. Holladay, Lcsw, Lc in Nephi - Clinical
Clark B. Holladay, Lcsw, Lc - NPI 1619172806
Clark B. Holladay, Lcsw, Lc is a Clinical in Nephi, Utah. Clark B. Holladay, Lcsw, Lc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clark B. Holladay, Lcsw, Lc is 1619172806. The last update date is 2020-08-22.
Clark B. Holladay, Lcsw, Lc's current location address is 656 N Main St, Nephi, Utah. You can contact this provider via phone number 4356235044 and fax number 4356235044. The mailing address for Clark B. Holladay, Lcsw, Lc is 656 N Main St, Nephi, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark B. Holladay, Lcsw, Lc |
|---|---|
| Address | 656 N Main St, Nephi, Utah |
| Phone Number | 4356235044 |
| Fax Number | 4356235044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Holladay B. Clark |
| Credentials | LCSW |
| Telephone Number | 4356235044 |
NPI Number Detail
| NPI Number | 1619172806 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 656 N Main St |
|---|---|
| City | Nephi |
| State | Utah (UT) |
| Post Code | 846481123 |
| Phone Number | 4356235044 |
| Fax Number | 4356235044 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2655503501 |
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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 provider identifier assigned to Clark B. Holladay, Lcsw, Lc?
The Clark B. Holladay, Lcsw, Lc has been issued the NPI (National Provider Identifier) 1619172806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Clark B. Holladay, Lcsw, Lc is located?
The Clark B. Holladay, Lcsw, Lc is situated at the following address: 656 N Main St, Nephi, UT, 846481123.
What is Clark B. Holladay, Lcsw, Lc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clark B. Holladay, Lcsw, Lc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619172806 to Clark B. Holladay, Lcsw, Lc?
The Centers for Medicare & Medicaid Services originally issued the 1619172806 to Clark B. Holladay, Lcsw, Lc on 2007-06-18.
As of what date were the details related to Clark B. Holladay, Lcsw, Lc most recently updated or revised?
The information pertaining to Clark B. Holladay, Lcsw, Lc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.