Eleanor Ihmsen Mattis in Falls Church - Clinical
Eleanor Ihmsen Mattis - NPI 1518024330
Eleanor Ihmsen Mattis is a Clinical in Falls Church, Virginia. Eleanor Ihmsen Mattis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eleanor Ihmsen Mattis is 1518024330. The last update date is 2011-12-08.
Eleanor Ihmsen Mattis's current location address is 6073 Arlington Blvd, Falls Church, Virginia. You can contact this provider via phone number 7035504334. The mailing address for Eleanor Ihmsen Mattis is 6073 Arlington Blvd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eleanor Ihmsen Mattis |
|---|---|
| Address | 6073 Arlington Blvd, Falls Church, Virginia |
| Phone Number | 7035504334 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1518024330 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 6073 Arlington Blvd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220442721 |
| Phone Number | 7035504334 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002312 |
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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 |
|---|---|---|---|
| F553-001 | VA | BLUE CROSS |
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What is the unique 10-digit identification code assigned to Eleanor Ihmsen Mattis by the Centers for Medicare & Medicaid Services?
The Eleanor Ihmsen Mattis has been issued the NPI (National Provider Identifier) 1518024330, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Eleanor Ihmsen Mattis?
The Eleanor Ihmsen Mattis is physically situated at 6073 Arlington Blvd, in the city of Falls Church, state of VA, with the postal code 220442721.
What is Eleanor Ihmsen Mattis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eleanor Ihmsen Mattis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1518024330 assigned to Eleanor Ihmsen Mattis?
The Eleanor Ihmsen Mattis was issued its 1518024330 on 2007-01-02, 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 Eleanor Ihmsen Mattis most recently updated or revised?
The information pertaining to Eleanor Ihmsen Mattis, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-08.
NPI Number: 1316940851
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