Willar Mae Baum in Portsmouth - Clinical

Willar Mae Baum - NPI 1003849142

Willar Mae Baum is a Clinical in Portsmouth, Virginia. Willar Mae Baum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willar Mae Baum is 1003849142. The last update date is 2021-12-09.

Willar Mae Baum's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579539767 and fax number 7579539995. The mailing address for Willar Mae Baum is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Willar Mae Baum
Address 620 John Paul Jones Cir, Portsmouth, Virginia
Phone Number 7579539767
Fax Number 7579539995
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1003849142
Provider Enumeration Date 2006-07-09
Last Updated Date 2021-12-09

Provider Mailing Address Detail

Address 620 John Paul Jones Cir
City Portsmouth
State Virginia (VA)
Post Code 237082111
Phone Number 7579539767
Fax Number 7579539995

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904005016
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
10127874 VA --
10157927 VA --
177979 VA ANTHEM

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FAQs about Willar Mae Baum

What is the unique identifier code issued to Willar Mae Baum by the Centers for Medicare & Medicaid Services?

The Willar Mae Baum has been assigned the NPI (National Provider Identifier) 1003849142. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Willar Mae Baum?

The Willar Mae Baum is situated at 620 John Paul Jones Cir, in the city of Portsmouth, state of VA, with the zip code 237082111.

What is Willar Mae Baum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Willar Mae Baum is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date was the 1003849142 assigned to Willar Mae Baum?

The Willar Mae Baum was issued its 1003849142 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Willar Mae Baum most recently updated or revised?

The details related to Willar Mae Baum, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-09.

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