Timothy William Corliss in Brockton - Social Worker
Timothy William Corliss - NPI 1053407429
Timothy William Corliss is a Social Worker in Brockton, Massachusetts. Timothy William Corliss practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Timothy William Corliss is 1053407429. The last update date is 2018-05-22.
Timothy William Corliss's current location address is 10 Meadowbrook Rd, Brockton, Massachusetts. You can contact this provider via phone number 5088944945. The mailing address for Timothy William Corliss is 10 Meadowbrook Rd, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy William Corliss |
|---|---|
| Address | 10 Meadowbrook Rd, Brockton, Massachusetts |
| Phone Number | 5088944945 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1053407429 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2018-05-22 |
Provider Mailing Address Detail
| Address | 10 Meadowbrook Rd |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23017122 |
| Phone Number | 5088944945 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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Definition: 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 an |
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What is the unique identification code assigned to Timothy William Corliss by the Centers for Medicare & Medicaid Services?
The Timothy William Corliss has been issued the NPI (National Provider Identifier) 1053407429. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy William Corliss's physical address?
The Timothy William Corliss is physically located at 10 Meadowbrook Rd, in the city of Brockton, MA, with the postal code 23017122.
What is the Timothy William Corliss's specialty and taxonomy code?
The Timothy William Corliss's specialty is Social Worker, and the corresponding taxonomy code is 104100000X.
On what date did Timothy William Corliss receive its 1053407429 assignment from the Centers for Medicare & Medicaid Services?
The Timothy William Corliss was assigned its 1053407429 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Timothy William Corliss most recently updated or refreshed?
The details pertaining to the Timothy William Corliss, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-22.