Kathryn Marie Vicks in Portsmouth - Clinical
Kathryn Marie Vicks - NPI 1285742395
Kathryn Marie Vicks is a Clinical in Portsmouth, Virginia. Kathryn Marie Vicks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Marie Vicks is 1285742395. The last update date is 2011-12-21.
Kathryn Marie Vicks's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579535129. The mailing address for Kathryn Marie Vicks is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Marie Vicks |
|---|---|
| Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Phone Number | 7579535129 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LISW- |
NPI Number Detail
| NPI Number | 1285742395 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Cir |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237082111 |
| Phone Number | 7579535129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I.0800182-SU |
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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 identification code issued to Kathryn Marie Vicks by the Centers for Medicare & Medicaid Services?
The Kathryn Marie Vicks has been assigned the NPI (National Provider Identifier) 1285742395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kathryn Marie Vicks?
The Kathryn Marie Vicks is physically situated at 620 John Paul Jones Cir, in the city of Portsmouth, state of VA, with the postal code 237082111.
What is Kathryn Marie Vicks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathryn Marie Vicks is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Kathryn Marie Vicks receive its 1285742395 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Marie Vicks was assigned its 1285742395 on 2006-08-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kathryn Marie Vicks most recently updated or refreshed?
The details pertaining to the Kathryn Marie Vicks, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-21.