Carolyn Sue Main in Virginia Beach - Clinical
Carolyn Sue Main - NPI 1679536254
Carolyn Sue Main is a Clinical in Virginia Beach, Virginia. Carolyn Sue Main practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Sue Main is 1679536254. The last update date is 2010-11-04.
Carolyn Sue Main's current location address is 2580 Potters Road, Virginia Beach, Virginia. You can contact this provider via phone number 7574989391 and fax number 7574987073. The mailing address for Carolyn Sue Main is 2580 Potters Road, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Sue Main |
|---|---|
| Address | 2580 Potters Road, Virginia Beach, Virginia |
| Phone Number | 7574989391 |
| Fax Number | 7574987073 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679536254 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2010-11-04 |
Provider Mailing Address Detail
| Address | 2580 Potters Road |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 23454 |
| Phone Number | 7574989391 |
| Fax Number | 7574987073 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000518 |
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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 |
|---|---|---|---|
| 25984 | CIGNA | ||
| 086902M | SENTARA OPTIMA | ||
| 3103297 | MAMSI | ||
| 186931 | ANTHEM PPO BCBS | ||
| 10237220 | VA | -- | |
| 186931 | ANTHEM HEALTH KEEPERS |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn Sue Main by the Centers for Medicare & Medicaid Services (CMS)?
The Carolyn Sue Main has been assigned the NPI (National Provider Identifier) 1679536254. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Carolyn Sue Main located?
The Carolyn Sue Main is located at 2580 Potters Road, Virginia Beach, VA 23454.
What is Carolyn Sue Main's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolyn Sue Main's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Carolyn Sue Main receive its 1679536254 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Sue Main was assigned its 1679536254 on 2006-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Carolyn Sue Main's details last updated?
The information pertaining to the Carolyn Sue Main, including its address, specialty, and other details, was most recently updated on 2010-11-04.
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