Kathy Jo Marie Avery in Spokane - Clinical
Kathy Jo Marie Avery - NPI 1922127554
Kathy Jo Marie Avery is a Clinical in Spokane, Washington. Kathy Jo Marie Avery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy Jo Marie Avery is 1922127554. The last update date is 2015-09-16.
Kathy Jo Marie Avery's current location address is 5919 S Cook St, Spokane, Washington. You can contact this provider via phone number 5094485660 and fax number 5094483536. The mailing address for Kathy Jo Marie Avery is 5919 S Cook St, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Jo Marie Avery |
|---|---|
| Address | 5919 S Cook St, Spokane, Washington |
| Phone Number | 5094485660 |
| Fax Number | 5094483536 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922127554 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-09-16 |
Provider Mailing Address Detail
| Address | 5919 S Cook St |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992236919 |
| Phone Number | 5094485660 |
| Fax Number | 5094483536 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW60195131 |
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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 assigned to Kathy Jo Marie Avery by the Centers for Medicare & Medicaid Services?
The Kathy Jo Marie Avery has been issued the NPI (National Provider Identifier) 1922127554 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathy Jo Marie Avery?
The Kathy Jo Marie Avery is physically situated at 5919 S Cook St, in the city of Spokane, state of WA, with the postal code 992236919.
What is the Kathy Jo Marie Avery's specialty and taxonomy code?
The Kathy Jo Marie Avery's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922127554 to Kathy Jo Marie Avery?
The Centers for Medicare & Medicaid Services assigned the 1922127554 to Kathy Jo Marie Avery on 2007-03-28.
As of what date were the Kathy Jo Marie Avery's details last updated?
The information pertaining to the Kathy Jo Marie Avery, including its address, specialty, and other details, was most recently updated on 2015-09-16.
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