Regina A Blackwolf is a Clinical in Everett, Washington. Regina A Blackwolf practices all healthcare services and medical treatments related to Clinical. The NPI Number for Regina A Blackwolf is 1184777252. The last update date is 2023-03-03.
Regina A Blackwolf's current location address is 12812 3rd Ave Se Ste A, Everett, Washington. You can contact this provider via phone number 2063757657 and fax number 2063195325. The mailing address for Regina A Blackwolf is 12812 3rd Ave Se Ste A, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina A Blackwolf |
|---|---|
| Address | 12812 3rd Ave Se Ste A, Everett, Washington |
| Phone Number | 2063757657 |
| Fax Number | 2063195325 |
| Sole Proprietor | N |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1184777252 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2023-03-03 |
Provider Mailing Address Detail
| Address | 12812 3rd Ave Se Ste A |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982086455 |
| Phone Number | 2063757657 |
| Fax Number | 2063195325 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW60083962 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Regina A Blackwolf by the Centers for Medicare & Medicaid Services?
The Regina A Blackwolf has been issued the NPI (National Provider Identifier) 1184777252. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Regina A Blackwolf is located?
The Regina A Blackwolf is situated at the following address: 12812 3Rd Ave Se Ste A, Everett, WA, 982086455.
What is Regina A Blackwolf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Regina A Blackwolf's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Regina A Blackwolf receive its 1184777252 assignment?
The Regina A Blackwolf was assigned its 1184777252 on 2007-01-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Regina A Blackwolf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Regina A Blackwolf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-03.
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