Shannon Rose Pike is a Clinical in Vancouver, Washington. Shannon Rose Pike practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Rose Pike is 1205054509. The last update date is 2007-07-08.
Shannon Rose Pike's current location address is 415 W 11th St, Vancouver, Washington. You can contact this provider via phone number 3606992244. The mailing address for Shannon Rose Pike is 415 W 11th St, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Rose Pike |
|---|---|
| Address | 415 W 11th St, Vancouver, Washington |
| Phone Number | 3606992244 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1205054509 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 W 11th St |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986603147 |
| Phone Number | 3606992244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | RC00049969 |
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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 identification code assigned to Shannon Rose Pike by the Centers for Medicare & Medicaid Services?
The Shannon Rose Pike has been issued the NPI (National Provider Identifier) 1205054509. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Rose Pike located?
The Shannon Rose Pike is located at 415 W 11Th St, Vancouver, WA 986603147.
What is the Shannon Rose Pike's specialty and taxonomy code?
The Shannon Rose Pike's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Shannon Rose Pike's 1205054509 issued?
The Shannon Rose Pike's 1205054509 was issued on 2007-04-23.
When was the Shannon Rose Pike's information last updated?
The Shannon Rose Pike's information was last updated on 2007-07-08.
NPI Number: 1912900226
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