Raynette Petrie is a Clinical in Tacoma, Washington. Raynette Petrie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raynette Petrie is 1447313028. The last update date is 2013-04-04.
Raynette Petrie's current location address is Madigan Army Medical Ctr, Tacoma, Washington. You can contact this provider via phone number 2539681110. The mailing address for Raynette Petrie is Madigan Army Medical Ctr, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raynette Petrie |
|---|---|
| Address | Madigan Army Medical Ctr, Tacoma, Washington |
| Phone Number | 2539681110 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447313028 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | Madigan Army Medical Ctr |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984310001 |
| Phone Number | 2539681110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-25024 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10144572 | ID | BLUE SHIELD | |
| L6063 | ID | BLUE CROSS OF IDAHO | |
| 10017772 | ID | REGENCE BLUE CROSS | |
| L3126 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Raynette Petrie's 1447313028?
The Raynette Petrie's NPI (National Provider Identifier) Number is 1447313028. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Raynette Petrie is located?
The Raynette Petrie is situated at the following address: Madigan Army Medical Ctr, Tacoma, WA, 984310001.
What is Raynette Petrie's area of expertise and its corresponding taxonomy classification?
The Raynette Petrie's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Raynette Petrie receive its 1447313028 assignment from the Centers for Medicare & Medicaid Services?
The Raynette Petrie was assigned its 1447313028 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information pertaining to Raynette Petrie most recently updated or revised?
The details related to Raynette Petrie, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-04.