Michael Slack, PH.D

ActiveIndividual ProviderClinical Social Worker
NPI issued: August 15, 2006

Quick Facts

NPI Number
1104939222
TypeIndividual
StatusActive
SpecialtyClinical Social Worker
Taxonomy1041C0700X — Clinical Social Worker
Phone
(707) 423-3811
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1104939222)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 15, 2006)
Data source: CMS NPPES

Provider Overview

MICHAEL SLACK, PH.D is a Clinical Social Worker provider based in Travis Afb, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104939222
Provider TypeIndividual Provider
GenderMale
CredentialPH.D
StatusActive
Enumeration DateAugust 15, 2006

Practice Location

CityTravis Afb
StateCA
ZIP Code94535-1809
Phone(707) 423-3811

Specialties & Licenses

★ Primary
SpecialtyClinical Social Worker
Taxonomy Code1041C0700X
License StateCA

Mailing Address

CityTravis Afb
StateCA
ZIP Code94535-1809
Phone(707) 423-3811
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104939222 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104939222for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104939222 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Social Worker

Clinical Social Workers provide counseling, therapy, and support services to diagnose and treat mental, behavioral, and emotional disorders, often advocating for clients' access to social resources.

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315,777
Clinical Social Worker Providers in the US

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Keith Baronsky, LCSW

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People Also Ask

What is Michael Slack's NPI number?
Michael Slack's NPI number is 1104939222, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Michael Slack's NPI currently active?
Yes, Michael Slack's NPI status is Active as of the latest CMS NPPES database updates.
What does Michael Slack specialize in?
Michael Slack specializes in Clinical Social Worker. The healthcare taxonomy code associated with this specialty is 1041C0700X.
Where does Michael Slack practice?
Michael Slack practices in Travis Afb, CA 94535-1809.
When was Michael Slack's NPI issued?
Michael Slack's NPI was issued on August 15, 2006.
What is Michael Slack's provider type?
Michael Slack is registered as an Individual Provider under CMS NPI Type 1.