Myra Elaine Woodruff in Jericho - Clinical
Myra Elaine Woodruff - NPI 1346288909
Myra Elaine Woodruff is a Clinical in Jericho, Vermont. Myra Elaine Woodruff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Myra Elaine Woodruff is 1346288909. The last update date is 2008-02-02.
Myra Elaine Woodruff's current location address is 18 Outlook Ln, Jericho, Vermont. You can contact this provider via phone number 8028612318 and fax number 8028994880. The mailing address for Myra Elaine Woodruff is 18 Outlook Ln, Jericho, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra Elaine Woodruff |
|---|---|
| Address | 18 Outlook Ln, Jericho, Vermont |
| Phone Number | 8028612318 |
| Fax Number | 8028994880 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1346288909 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2008-02-02 |
Provider Mailing Address Detail
| Address | 18 Outlook Ln |
|---|---|
| City | Jericho |
| State | Vermont (VT) |
| Post Code | 54652532 |
| Phone Number | 8028612318 |
| Fax Number | 8028994880 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000919 |
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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 |
|---|---|---|---|
| 1009230 | VT | -- |
Post Comment/ Review Below
What is the Myra Elaine Woodruff's 1346288909?
The Myra Elaine Woodruff's NPI (National Provider Identifier) Number is 1346288909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Myra Elaine Woodruff's physical address?
The Myra Elaine Woodruff is physically located at 18 Outlook Ln, in the city of Jericho, VT, with the postal code 54652532.
What is Myra Elaine Woodruff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Myra Elaine Woodruff is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346288909 to Myra Elaine Woodruff?
The Myra Elaine Woodruff received its 1346288909 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date were the details pertaining to Myra Elaine Woodruff last refreshed?
The information related to the Myra Elaine Woodruff, including its address, specialty, and other relevant details, was last updated on 2008-02-02.