Colleen Carroll Holbrook in Edmonds - Clinical
Colleen Carroll Holbrook - NPI 1790992337
Colleen Carroll Holbrook is a Clinical in Edmonds, Washington. Colleen Carroll Holbrook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen Carroll Holbrook is 1790992337. The last update date is 2007-07-08.
Colleen Carroll Holbrook's current location address is 420 5th Ave S Ste 201, Edmonds, Washington. You can contact this provider via phone number 2065503502. The mailing address for Colleen Carroll Holbrook is 420 5th Ave S Ste 201, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Carroll Holbrook |
|---|---|
| Address | 420 5th Ave S Ste 201, Edmonds, Washington |
| Phone Number | 2065503502 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW, CMH |
NPI Number Detail
| NPI Number | 1790992337 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 5th Ave S Ste 201 |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980203632 |
| Phone Number | 2065503502 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00005296 |
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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 identifier code issued to Colleen Carroll Holbrook by the Centers for Medicare & Medicaid Services?
The Colleen Carroll Holbrook has been assigned the NPI (National Provider Identifier) 1790992337. 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 provide the complete physical location address of Colleen Carroll Holbrook?
The Colleen Carroll Holbrook is physically situated at 420 5Th Ave S Ste 201, in the city of Edmonds, state of WA, with the postal code 980203632.
What is Colleen Carroll Holbrook's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Colleen Carroll Holbrook's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Colleen Carroll Holbrook receive its 1790992337 assignment from the Centers for Medicare & Medicaid Services?
The Colleen Carroll Holbrook was assigned its 1790992337 by the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details pertaining to Colleen Carroll Holbrook last refreshed?
The information related to the Colleen Carroll Holbrook, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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