Kevin B Raff is a Clinical in Salt Lake City, Utah. Kevin B Raff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin B Raff is 1023239100. The last update date is 2008-09-26.
Kevin B Raff's current location address is 500 Foothill Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8015821565 and fax number 8015845680. The mailing address for Kevin B Raff is 500 Foothill Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin B Raff |
|---|---|
| Address | 500 Foothill Blvd, Salt Lake City, Utah |
| Phone Number | 8015821565 |
| Fax Number | 8015845680 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1023239100 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 500 Foothill Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841480001 |
| Phone Number | 8015821565 |
| Fax Number | 8015845680 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5674574-3501 |
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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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What is the unique 10-digit identifier code issued to Kevin B Raff by the Centers for Medicare & Medicaid Services?
The Kevin B Raff has been assigned the NPI (National Provider Identifier) 1023239100 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin B Raff located?
The Kevin B Raff is located at 500 Foothill Blvd, Salt Lake City, UT 841480001.
What is Kevin B Raff's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin B Raff's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1023239100 assigned to Kevin B Raff?
The Kevin B Raff was issued its 1023239100 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin B Raff most recently updated or revised?
The information pertaining to Kevin B Raff, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-26.