Alan Harris Lake is a Clinical in Bloomfield, Connecticut. Alan Harris Lake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alan Harris Lake is 1184735532. The last update date is 2014-01-14.
Alan Harris Lake's current location address is 9 Old Orchard Rd, Bloomfield, Connecticut. You can contact this provider via phone number 8604024402. The mailing address for Alan Harris Lake is 9 Old Orchard Rd, Bloomfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Harris Lake |
|---|---|
| Address | 9 Old Orchard Rd, Bloomfield, Connecticut |
| Phone Number | 8604024402 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184735532 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-01-14 |
Provider Mailing Address Detail
| Address | 9 Old Orchard Rd |
|---|---|
| City | Bloomfield |
| State | Connecticut (CT) |
| Post Code | 60022259 |
| Phone Number | 8604024402 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 875 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Alan Harris Lake by the Centers for Medicare & Medicaid Services?
The Alan Harris Lake has been assigned the NPI (National Provider Identifier) 1184735532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Alan Harris Lake is located?
The Alan Harris Lake is situated at the following address: 9 Old Orchard Rd, Bloomfield, CT, 60022259.
What is Alan Harris Lake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alan Harris Lake's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Alan Harris Lake receive its 1184735532 assignment from the Centers for Medicare & Medicaid Services?
The Alan Harris Lake was assigned its 1184735532 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Alan Harris Lake most recently updated?
The details pertaining to the Alan Harris Lake, including its address, specialty, and other relevant information, were last refreshed on 2014-01-14.