James Walter Eisenhower in Virginia Beach - Clinical

James Walter Eisenhower - NPI 1952407900

James Walter Eisenhower is a Clinical in Virginia Beach, Virginia. James Walter Eisenhower practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Walter Eisenhower is 1952407900. The last update date is 2007-08-03.

James Walter Eisenhower's current location address is 281 Independence Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7573736051 and fax number 7574971327. The mailing address for James Walter Eisenhower is 281 Independence Blvd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name James Walter Eisenhower
Address 281 Independence Blvd, Virginia Beach, Virginia
Phone Number 7573736051
Fax Number 7574971327
Sole Proprietor N
Credentials PH.D, LCSW

NPI Number Detail

NPI Number 1952407900
Provider Enumeration Date 2006-09-16
Last Updated Date 2007-08-03

Provider Mailing Address Detail

Address 281 Independence Blvd
City Virginia Beach
State Virginia (VA)
Post Code 234622986
Phone Number 7573736051
Fax Number 7574971327

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904000683
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 James Walter Eisenhower

What is the unique 10-digit identifier code issued to James Walter Eisenhower by the Centers for Medicare & Medicaid Services?

The James Walter Eisenhower has been assigned the NPI (National Provider Identifier) 1952407900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where James Walter Eisenhower's facilities are situated?

The facilities of James Walter Eisenhower are physically located at the following address: 281 Independence Blvd, Virginia Beach, VA, 234622986.

What is James Walter Eisenhower's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Walter Eisenhower is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the James Walter Eisenhower receive the assignment of its 1952407900 from the Centers for Medicare & Medicaid Services?

The James Walter Eisenhower was issued its 1952407900 by the Centers for Medicare & Medicaid Services on 2006-09-16.

When was the information pertaining to James Walter Eisenhower most recently updated or revised?

The details related to James Walter Eisenhower, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-03.

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