Judith Rose Dustin is a Clinical in Tacoma, Washington. Judith Rose Dustin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Rose Dustin is 1528037496. The last update date is 2007-07-08.
Judith Rose Dustin's current location address is 917 Pacific Ave, Tacoma, Washington. You can contact this provider via phone number 2535726861 and fax number 2535723400. The mailing address for Judith Rose Dustin is 917 Pacific Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Rose Dustin |
|---|---|
| Address | 917 Pacific Ave, Tacoma, Washington |
| Phone Number | 2535726861 |
| Fax Number | 2535723400 |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1528037496 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 917 Pacific Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984024446 |
| Phone Number | 2535726861 |
| Fax Number | 2535723400 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LICSW 000065 |
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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 identifier code issued to Judith Rose Dustin by the Centers for Medicare & Medicaid Services?
The Judith Rose Dustin has been assigned the NPI (National Provider Identifier) 1528037496. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Judith Rose Dustin located?
The Judith Rose Dustin is located at 917 Pacific Ave, Tacoma, WA 984024446.
What is the Judith Rose Dustin's area of specialization and corresponding taxonomy classification?
The Judith Rose Dustin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1528037496 to Judith Rose Dustin?
The Judith Rose Dustin received its 1528037496 assignment from the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information pertaining to Judith Rose Dustin most recently updated or revised?
The details related to Judith Rose Dustin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.