Stephanie Broadbent Black in Springville - Clinical
Stephanie Broadbent Black - NPI 1477745446
Stephanie Broadbent Black is a Clinical in Springville, Utah. Stephanie Broadbent Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephanie Broadbent Black is 1477745446. The last update date is 2013-10-03.
Stephanie Broadbent Black's current location address is 533 N 450 E, Springville, Utah. You can contact this provider via phone number 3196219581. The mailing address for Stephanie Broadbent Black is 533 N 450 E, Springville, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Broadbent Black |
|---|---|
| Address | 533 N 450 E, Springville, Utah |
| Phone Number | 3196219581 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, LISW |
NPI Number Detail
| NPI Number | 1477745446 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2013-10-03 |
Provider Mailing Address Detail
| Address | 533 N 450 E |
|---|---|
| City | Springville |
| State | Utah (UT) |
| Post Code | 846633402 |
| Phone Number | 3196219581 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6656502-3502 |
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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 Stephanie Broadbent Black's unique identification number?
The Stephanie Broadbent Black has been assigned the NPI (National Provider Identifier) Number 1477745446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Stephanie Broadbent Black's facilities are geographically located?
The facilities of Stephanie Broadbent Black are physically situated at the following location: 533 N 450 E, Springville, UT, 846633402.
What is Stephanie Broadbent Black'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 Stephanie Broadbent Black is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477745446 to Stephanie Broadbent Black?
The Centers for Medicare & Medicaid Services originally issued the 1477745446 to Stephanie Broadbent Black on 2007-08-14.
As of what date were the details related to Stephanie Broadbent Black most recently updated or revised?
The information pertaining to Stephanie Broadbent Black, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-03.