John Jeffrey Willis in Richmond - Clinical

John Jeffrey Willis - NPI 1174560189

John Jeffrey Willis is a Clinical in Richmond, Virginia. John Jeffrey Willis practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Jeffrey Willis is 1174560189. The last update date is 2007-07-08.

John Jeffrey Willis's current location address is 2305 N Parham Rd, Richmond, Virginia. You can contact this provider via phone number 8042701124 and fax number 8042702090. The mailing address for John Jeffrey Willis is 2305 N Parham Rd, Richmond, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Jeffrey Willis
Address 2305 N Parham Rd, Richmond, Virginia
Phone Number 8042701124
Fax Number 8042702090
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1174560189
Provider Enumeration Date 2006-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2305 N Parham Rd
City Richmond
State Virginia (VA)
Post Code 232293156
Phone Number 8042701124
Fax Number 8042702090

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904002484
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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FAQs about John Jeffrey Willis

What is the unique 10-digit identification code assigned to John Jeffrey Willis by the Centers for Medicare & Medicaid Services?

The John Jeffrey Willis has been issued the NPI (National Provider Identifier) 1174560189, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John Jeffrey Willis's facilities are situated?

The facilities of John Jeffrey Willis are physically located at the following address: 2305 N Parham Rd, Richmond, VA, 232293156.

What is the John Jeffrey Willis's area of specialization and corresponding taxonomy classification?

The John Jeffrey Willis'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 John Jeffrey Willis receive the assignment of its 1174560189 from the Centers for Medicare & Medicaid Services?

The John Jeffrey Willis was issued its 1174560189 by the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date were the details related to John Jeffrey Willis most recently updated or revised?

The information pertaining to John Jeffrey Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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