BRIDIE VICKERY MA NPI 1679817472

NPI Information

NPI: 1679817472
Provider Name: BRIDIE VICKERY, MA
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
2210 N ELDORADO AVE
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 883-1030
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Bridie Vickery, MA is a social worker in Klamath Falls, OR. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Bridie Vickery, MA NPI is 1679817472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2210 N ELDORADO AVE
KLAMATH FALLS, OR
ZIP 97601-418
Phone: (541) 883-1030
Fax: (541) 884-2338

The enumeration date for this NPI number is 11/16/2012 and was last updated on 11/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	223354	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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