Stephen Tierri Wilson in Olympia - Clinical
Stephen Tierri Wilson - NPI 1912069006
Stephen Tierri Wilson is a Clinical in Olympia, Washington. Stephen Tierri Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Tierri Wilson is 1912069006. The last update date is 2007-07-08.
Stephen Tierri Wilson's current location address is 2101 4th Ave E, Olympia, Washington. You can contact this provider via phone number 3607869499 and fax number 3607860758. The mailing address for Stephen Tierri Wilson is 2101 4th Ave E, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Tierri Wilson |
|---|---|
| Address | 2101 4th Ave E, Olympia, Washington |
| Phone Number | 3607869499 |
| Fax Number | 3607860758 |
| Sole Proprietor | Y |
| Credentials | MSW, ACSW, |
NPI Number Detail
| NPI Number | 1912069006 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2101 4th Ave E |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985066512 |
| Phone Number | 3607869499 |
| Fax Number | 3607860758 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00006074 |
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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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What is the unique 10-digit identifier code issued to Stephen Tierri Wilson by the Centers for Medicare & Medicaid Services?
The Stephen Tierri Wilson has been assigned the NPI (National Provider Identifier) 1912069006 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stephen Tierri Wilson is located?
The Stephen Tierri Wilson is situated at the following address: 2101 4Th Ave E, Olympia, WA, 985066512.
What is Stephen Tierri Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Tierri Wilson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Stephen Tierri Wilson receive its 1912069006 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Tierri Wilson was assigned its 1912069006 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information pertaining to Stephen Tierri Wilson most recently updated or revised?
The details related to Stephen Tierri Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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