Erica L Walworth in Fort Wayne - Marriage & Family Therapist
Erica L Walworth - NPI 1336255801
Erica L Walworth is a Marriage & Family Therapist in Fort Wayne, Indiana. Erica L Walworth practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Erica L Walworth is 1336255801. The last update date is 2019-08-15.
Erica L Walworth's current location address is 11330 Eagle Crest Trl, Fort Wayne, Indiana. You can contact this provider via phone number 2604899009 and fax number 2604895057. The mailing address for Erica L Walworth is 11330 Eagle Crest Trl, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erica L Walworth |
|---|---|
| Address | 11330 Eagle Crest Trl, Fort Wayne, Indiana |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
| Sole Proprietor | N |
| Credentials | MS LMFT CE |
NPI Number Detail
| NPI Number | 1336255801 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
| Address | 11330 Eagle Crest Trl |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451186 |
| Phone Number | 2604899009 |
| Fax Number | 2604895057 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 35001890A |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 893263 | AMERICAN DIETETIC ASSOCIA | ||
| 893263 | CDR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Erica L Walworth?
The Erica L Walworth has been issued the NPI (National Provider Identifier) 1336255801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Erica L Walworth is geographically located?
The Erica L Walworth is physically situated at the following location: 11330 Eagle Crest Trl, Fort Wayne, IN, 468451186.
What is Erica L Walworth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erica L Walworth's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336255801 to Erica L Walworth?
The Erica L Walworth received its 1336255801 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Erica L Walworth most recently updated or revised?
The information pertaining to Erica L Walworth, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-15.
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