Mayra Santiago-Burgos in East Hartford - Clinical
Mayra Santiago-Burgos - NPI 1053584359
Mayra Santiago-Burgos is a Clinical in East Hartford, Connecticut. Mayra Santiago-Burgos practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mayra Santiago-Burgos is 1053584359. The last update date is 2008-04-08.
Mayra Santiago-Burgos's current location address is 63 King St, East Hartford, Connecticut. You can contact this provider via phone number 8602970938 and fax number 8602976338. The mailing address for Mayra Santiago-Burgos is 63 King St, East Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mayra Santiago-Burgos |
|---|---|
| Address | 63 King St, East Hartford, Connecticut |
| Phone Number | 8602970938 |
| Fax Number | 8602976338 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053584359 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 63 King St |
|---|---|
| City | East Hartford |
| State | Connecticut (CT) |
| Post Code | 61081014 |
| Phone Number | 8602970938 |
| Fax Number | 8602976338 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4689 |
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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 assigned to Mayra Santiago-Burgos by the Centers for Medicare & Medicaid Services?
The Mayra Santiago-Burgos has been issued the NPI (National Provider Identifier) 1053584359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mayra Santiago-Burgos's facilities are geographically located?
The facilities of Mayra Santiago-Burgos are physically situated at the following location: 63 King St, East Hartford, CT, 61081014.
What is the Mayra Santiago-Burgos's specialty and taxonomy code?
The Mayra Santiago-Burgos's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053584359 to Mayra Santiago-Burgos?
The Mayra Santiago-Burgos received its 1053584359 assignment from the Centers for Medicare & Medicaid Services on 2008-04-08.
As of what date was the information regarding Mayra Santiago-Burgos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mayra Santiago-Burgos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-08.
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