Edward John Whitacre in Newport News - Clinical
Edward John Whitacre - NPI 1417965583
Edward John Whitacre is a Clinical in Newport News, Virginia. Edward John Whitacre practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward John Whitacre is 1417965583. The last update date is 2007-07-08.
Edward John Whitacre's current location address is 11825 Rock Landing Dr, Newport News, Virginia. You can contact this provider via phone number 7578731736 and fax number 7578731028. The mailing address for Edward John Whitacre is 11825 Rock Landing Dr, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward John Whitacre |
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Address | 11825 Rock Landing Dr, Newport News, Virginia |
Phone Number | 7578731736 |
Fax Number | 7578731028 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1417965583 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11825 Rock Landing Dr |
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City | Newport News |
State | Virginia (VA) |
Post Code | 236064236 |
Phone Number | 7578731736 |
Fax Number | 7578731028 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 904002390 |
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 identifier code issued to Edward John Whitacre by the Centers for Medicare & Medicaid Services?
The Edward John Whitacre has been assigned the NPI (National Provider Identifier) 1417965583. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Edward John Whitacre is geographically located?
The Edward John Whitacre is physically situated at the following location: 11825 Rock Landing Dr, Newport News, VA, 236064236.
What is Edward John Whitacre's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward John Whitacre's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Edward John Whitacre receive its 1417965583 assignment from the Centers for Medicare & Medicaid Services?
The Edward John Whitacre was assigned its 1417965583 by the Centers for Medicare & Medicaid Services on 2006-08-04.
As of what date was the information regarding Edward John Whitacre, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward John Whitacre, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.