Alicia Wendy Feller in Bridgeport - Clinical
Alicia Wendy Feller - NPI 1700963311
Alicia Wendy Feller is a Clinical in Bridgeport, Connecticut. Alicia Wendy Feller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alicia Wendy Feller is 1700963311. The last update date is 2007-07-08.
Alicia Wendy Feller's current location address is 1635 Central Avenue, Bridgeport, Connecticut. You can contact this provider via phone number 2035517660 and fax number 2035517481. The mailing address for Alicia Wendy Feller is 1635 Central Avenue, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Wendy Feller |
|---|---|
| Address | 1635 Central Avenue, Bridgeport, Connecticut |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700963311 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1635 Central Avenue |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 6610 |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5501 |
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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 provider identifier assigned to Alicia Wendy Feller?
The Alicia Wendy Feller has been issued the NPI (National Provider Identifier) 1700963311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Alicia Wendy Feller's physical address?
The Alicia Wendy Feller is physically located at 1635 Central Avenue, in the city of Bridgeport, CT, with the postal code 6610.
What is Alicia Wendy Feller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alicia Wendy Feller'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 Centers for Medicare & Medicaid Services originally issue the 1700963311 to Alicia Wendy Feller?
The Centers for Medicare & Medicaid Services originally issued the 1700963311 to Alicia Wendy Feller on 2006-11-01.
As of what date were the details related to Alicia Wendy Feller most recently updated or revised?
The information pertaining to Alicia Wendy Feller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1699778829
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