Kettelie Paulemon in Bridgeport - Clinical
Kettelie Paulemon - NPI 1518187087
Kettelie Paulemon is a Clinical in Bridgeport, Connecticut. Kettelie Paulemon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kettelie Paulemon is 1518187087. The last update date is 2015-06-10.
Kettelie Paulemon's current location address is 479 Helen St, Bridgeport, Connecticut. You can contact this provider via phone number 2035768310. The mailing address for Kettelie Paulemon is 479 Helen St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kettelie Paulemon |
|---|---|
| Address | 479 Helen St, Bridgeport, Connecticut |
| Phone Number | 2035768310 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1518187087 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2015-06-10 |
Provider Mailing Address Detail
| Address | 479 Helen St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66081321 |
| Phone Number | 2035768310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 identifier code issued to Kettelie Paulemon by the Centers for Medicare & Medicaid Services?
The Kettelie Paulemon has been assigned the NPI (National Provider Identifier) 1518187087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kettelie Paulemon's facilities are geographically located?
The facilities of Kettelie Paulemon are physically situated at the following location: 479 Helen St, Bridgeport, CT, 66081321.
What is Kettelie Paulemon's area of expertise and its corresponding taxonomy classification?
The Kettelie Paulemon's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Kettelie Paulemon receive its 1518187087 assignment from the Centers for Medicare & Medicaid Services?
The Kettelie Paulemon was assigned its 1518187087 on 2007-04-26, 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 Kettelie Paulemon most recently updated or refreshed?
The details pertaining to the Kettelie Paulemon, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-10.