Eric Oakes Larson in Carrollton - Clinical

Eric Oakes Larson - NPI 1861616724

Eric Oakes Larson is a Clinical in Carrollton, Texas. Eric Oakes Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Oakes Larson is 1861616724. The last update date is 2007-07-08.

Eric Oakes Larson's current location address is 1100 W Jackson Rd, Carrollton, Texas. You can contact this provider via phone number 9722422182 and fax number 9722422932. The mailing address for Eric Oakes Larson is 1100 W Jackson Rd, Carrollton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Oakes Larson
Address 1100 W Jackson Rd, Carrollton, Texas
Phone Number 9722422182
Fax Number 9722422932
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1861616724
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1100 W Jackson Rd
City Carrollton
State Texas (TX)
Post Code 750061316
Phone Number 9722422182
Fax Number 9722422932

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 22317
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86551Q TX BLUE CROSS BLUE SHIELD

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FAQs about Eric Oakes Larson

What is the Eric Oakes Larson's unique identification number?

The Eric Oakes Larson has been assigned the NPI (National Provider Identifier) Number 1861616724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Eric Oakes Larson's physical address?

The Eric Oakes Larson is physically located at 1100 W Jackson Rd, in the city of Carrollton, TX, with the postal code 750061316.

What is Eric Oakes Larson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eric Oakes Larson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Eric Oakes Larson receive its 1861616724 assignment from the Centers for Medicare & Medicaid Services?

The Eric Oakes Larson was assigned its 1861616724 by the Centers for Medicare & Medicaid Services on 2007-04-12.

As of what date were the Eric Oakes Larson's details last updated?

The information pertaining to the Eric Oakes Larson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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