Betty Alexandra Kedrock in Norfolk - Clinical
Betty Alexandra Kedrock - NPI 1275533796
Betty Alexandra Kedrock is a Clinical in Norfolk, Virginia. Betty Alexandra Kedrock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betty Alexandra Kedrock is 1275533796. The last update date is 2007-07-08.
Betty Alexandra Kedrock's current location address is 1709 Colley Ave, Norfolk, Virginia. You can contact this provider via phone number 7576400400 and fax number 7576400497. The mailing address for Betty Alexandra Kedrock is 1709 Colley Ave, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Alexandra Kedrock |
|---|---|
| Address | 1709 Colley Ave, Norfolk, Virginia |
| Phone Number | 7576400400 |
| Fax Number | 7576400497 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275533796 |
|---|---|
| Provider Enumeration Date | 2005-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1709 Colley Ave |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235171675 |
| Phone Number | 7576400400 |
| Fax Number | 7576400497 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000234 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8908478 | VA | -- | |
| A163599 | VALUE OPTIONS | ||
| 80436 | VA | OPTIMA | |
| 324004 | MANAGED HEALTH NETWORK | ||
| 247697 | COM PSYCH | ||
| 49958 | VA | BLUE CROSS BLUE SHIELD | |
| 216188 | VA | UCH | |
| 5264256 | VA | AETNA | |
| 28883 | VA | VALUE OPTION |
Post Comment/ Review Below
What is the Betty Alexandra Kedrock's unique identification number?
The Betty Alexandra Kedrock has been assigned the NPI (National Provider Identifier) Number 1275533796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Betty Alexandra Kedrock is located?
The Betty Alexandra Kedrock is situated at the following address: 1709 Colley Ave, Norfolk, VA, 235171675.
What is Betty Alexandra Kedrock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Betty Alexandra Kedrock's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Betty Alexandra Kedrock's 1275533796 issued?
The Betty Alexandra Kedrock's 1275533796 was issued on 2005-07-27.
As of what date were the details related to Betty Alexandra Kedrock most recently updated or revised?
The information pertaining to Betty Alexandra Kedrock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY