Kim Grooms in Clovis - School

Kim Grooms - NPI 1962572990

Kim Grooms is a School in Clovis, New Mexico. Kim Grooms practices all healthcare services and medical treatments related to School. The NPI Number for Kim Grooms is 1962572990. The last update date is 2007-07-08.

Kim Grooms's current location address is 1600 Sutter Pl, Clovis, New Mexico. You can contact this provider via phone number 5057694490 and fax number 5059350011. The mailing address for Kim Grooms is 1600 Sutter Pl, Clovis, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Grooms
Address 1600 Sutter Pl, Clovis, New Mexico
Phone Number 5057694490
Fax Number 5059350011
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1962572990
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 Sutter Pl
City Clovis
State New Mexico (NM)
Post Code 881014611
Phone Number 5057694490
Fax Number 5059350011

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 1041S0200X
Licence No 286795
Definition:
A social worker who provides services and support to students in school settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45822891 NM --

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FAQs about Kim Grooms

What is the Kim Grooms's 1962572990?

The Kim Grooms's NPI (National Provider Identifier) Number is 1962572990. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kim Grooms?

The Kim Grooms is physically situated at 1600 Sutter Pl, in the city of Clovis, state of NM, with the postal code 881014611.

What is Kim Grooms's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kim Grooms's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 1041S0200X.

On what date did Kim Grooms receive its 1962572990 assignment from the Centers for Medicare & Medicaid Services?

The Kim Grooms was assigned its 1962572990 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kim Grooms, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kim Grooms, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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