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NPI Code Detail

MEDICARE: JAMES WEST LCSW

MEDICARE: JAMES WEST LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-288AR

General Provider Information

NPI Number : 1932189883
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WEST LCSW
Provider Business Mailing Address
First Line : 12605 MOONLIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-9431
Country : US
Telephone Number : 479-452-6650
Fax Number : 479-452-5847
Provider Business Practice Location Address
First Line : 3111 S 70TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5017
Country : US
Telephone Number : 479-452-6650
Fax Number : 479-452-5847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 06/13/2016

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