Bruce W Dillard is a Clinical in Chesterfield, Virginia. Bruce W Dillard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce W Dillard is 1417098419. The last update date is 2007-07-09.
Bruce W Dillard's current location address is 6801 Lucy Corr Ct, Chesterfield, Virginia. You can contact this provider via phone number 8047481227 and fax number 8047176659. The mailing address for Bruce W Dillard is 6801 Lucy Corr Ct, Chesterfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce W Dillard |
|---|---|
| Address | 6801 Lucy Corr Ct, Chesterfield, Virginia |
| Phone Number | 8047481227 |
| Fax Number | 8047176659 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1417098419 |
|---|---|
| Provider Enumeration Date | 2007-02-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6801 Lucy Corr Ct |
|---|---|
| City | Chesterfield |
| State | Virginia (VA) |
| Post Code | 238326657 |
| Phone Number | 8047481227 |
| Fax Number | 8047176659 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904004203 |
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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 assigned to Bruce W Dillard by the Centers for Medicare & Medicaid Services?
The Bruce W Dillard has been issued the NPI (National Provider Identifier) 1417098419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bruce W Dillard?
The Bruce W Dillard is physically situated at 6801 Lucy Corr Ct, in the city of Chesterfield, state of VA, with the postal code 238326657.
What is the Bruce W Dillard's area of specialization and corresponding taxonomy classification?
The Bruce W Dillard's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Bruce W Dillard receive its 1417098419 assignment from the Centers for Medicare & Medicaid Services?
The Bruce W Dillard was assigned its 1417098419 by the Centers for Medicare & Medicaid Services on 2007-02-11.
When was the information pertaining to Bruce W Dillard most recently updated or revised?
The details related to Bruce W Dillard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.