NPI 1649448275 MONIQUE MCWILLIAMS WALL LCSW PETERSON AFB CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Monique Mcwilliams Wall - NPI: 1649448275

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MONIQUE MCWILLIAMS WALL
NPI Number: 1649448275
Entity Type Code: Individual (1)
Gender: F
Credentials: LCSW
License Number: 1773-C
Business Practice Address: 110 W Ent Ave
Attn: 21 Mdos/sgoh-mental Health Peterson Afb, CO - 809141595
Business Phone Number: 7195568943
Business Fax Number: 7195567399
Mailing Address: 110 W Ent Ave, Attn: 21 Mdos/sgoh-mental Health
PETERSON AFB
State: CO
Postal Code: 809141595
Phone Number: 7195568943
Fax Number: 7195567399
NPI Enumeration Date: 02/17/2008
NPI Last Update Date: 02/27/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: 1773-C
Healthcare Provider Taxonomy:
(Secondary)
N
State: AR
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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