Eileen Anderson Stancukas in Fort Worth - Clinical
Eileen Anderson Stancukas - NPI 1740448836
Eileen Anderson Stancukas is a Clinical in Fort Worth, Texas. Eileen Anderson Stancukas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eileen Anderson Stancukas is 1740448836. The last update date is 2008-05-27.
Eileen Anderson Stancukas's current location address is 3500 Overton Park Dr W, Fort Worth, Texas. You can contact this provider via phone number 8179210718 and fax number 8179244771. The mailing address for Eileen Anderson Stancukas is 3500 Overton Park Dr W, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Anderson Stancukas |
|---|---|
| Address | 3500 Overton Park Dr W, Fort Worth, Texas |
| Phone Number | 8179210718 |
| Fax Number | 8179244771 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740448836 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 3500 Overton Park Dr W |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761092505 |
| Phone Number | 8179210718 |
| Fax Number | 8179244771 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2771 |
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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 provider identifier assigned to Eileen Anderson Stancukas?
The Eileen Anderson Stancukas has been issued the NPI (National Provider Identifier) 1740448836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Eileen Anderson Stancukas is physically located?
The Eileen Anderson Stancukas is situated at the following address: 3500 Overton Park Dr W, Fort Worth, TX 761092505.
What is Eileen Anderson Stancukas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eileen Anderson Stancukas is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740448836 to Eileen Anderson Stancukas?
The Eileen Anderson Stancukas received its 1740448836 assignment from the Centers for Medicare & Medicaid Services on 2008-05-27.
When was the Eileen Anderson Stancukas's information last updated?
The Eileen Anderson Stancukas's information was last updated on 2008-05-27.
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