Mitzi K Glass in Chesapeake - Clinical

Mitzi K Glass - NPI 1184617755

Mitzi K Glass is a Clinical in Chesapeake, Virginia. Mitzi K Glass practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mitzi K Glass is 1184617755. The last update date is 2007-07-08.

Mitzi K Glass's current location address is 1215 Volvo Pkwy, Chesapeake, Virginia. You can contact this provider via phone number 7573128550 and fax number 7573128553. The mailing address for Mitzi K Glass is 1215 Volvo Pkwy, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitzi K Glass
Address 1215 Volvo Pkwy, Chesapeake, Virginia
Phone Number 7573128550
Fax Number 7573128553
Sole Proprietor X
Credentials --

NPI Number Detail

NPI Number 1184617755
Provider Enumeration Date 2005-08-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1215 Volvo Pkwy
City Chesapeake
State Virginia (VA)
Post Code 233207656
Phone Number 7573128550
Fax Number 7573128553

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904004491
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
8949140 VA --
175778 VT BCBS

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FAQs about Mitzi K Glass

What is the unique identification code assigned to Mitzi K Glass by the Centers for Medicare & Medicaid Services?

The Mitzi K Glass has been issued the NPI (National Provider Identifier) 1184617755. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mitzi K Glass is located?

The Mitzi K Glass is situated at the following address: 1215 Volvo Pkwy, Chesapeake, VA, 233207656.

What is Mitzi K Glass's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mitzi K Glass's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did Mitzi K Glass receive its 1184617755 assignment from the Centers for Medicare & Medicaid Services?

The Mitzi K Glass was assigned its 1184617755 on 2005-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1184617755 to Mitzi K Glass?

The Centers for Medicare & Medicaid Services assigned the 1184617755 to Mitzi K Glass on 2005-08-29.

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