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NPI Code Detail

MEDICARE: MR. LINFORD W WHITTLE LCSW

MEDICARE:  MR. LINFORD W WHITTLE  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
1104100000XSocial WorkerLCSW-10822AZ
21041C0700XClinical Social Worker

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00476020OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639244239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LINFORD W WHITTLE LCSW
Provider Business Mailing Address
First Line : 4862 N BONITA RIDGE AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6255
Country : US
Telephone Number : 520-906-9933
Fax Number : 520-577-6234
Provider Business Practice Location Address
First Line : 6280 E PIMA ST
Second Line : SUITE # 110
City : TUCSON
State : AZ
Zip : 85712-3074
Country : US
Telephone Number : 520-906-9933
Fax Number : 520-577-6234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 04/01/2011

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Directions to “ MR. LINFORD W WHITTLE LCSW” Practice Location

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