Angelica Fontanez is a Clinical in Fairfield, Connecticut. Angelica Fontanez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angelica Fontanez is 1710175161. The last update date is 2011-07-11.
Angelica Fontanez's current location address is 1817 Black Rock Tpke, Fairfield, Connecticut. You can contact this provider via phone number 2032758555. The mailing address for Angelica Fontanez is 1817 Black Rock Tpke, Fairfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelica Fontanez |
|---|---|
| Address | 1817 Black Rock Tpke, Fairfield, Connecticut |
| Phone Number | 2032758555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1710175161 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2011-07-11 |
Provider Mailing Address Detail
| Address | 1817 Black Rock Tpke |
|---|---|
| City | Fairfield |
| State | Connecticut (CT) |
| Post Code | 68253546 |
| Phone Number | 2032758555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6513 |
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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 identifier code issued to Angelica Fontanez by the Centers for Medicare & Medicaid Services?
The Angelica Fontanez has been assigned the NPI (National Provider Identifier) 1710175161. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Angelica Fontanez?
The Angelica Fontanez is situated at 1817 Black Rock Tpke, in the city of Fairfield, state of CT, with the zip code 68253546.
What is the Angelica Fontanez's specialty and taxonomy code?
The Angelica Fontanez's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Angelica Fontanez receive the assignment of its 1710175161 from the Centers for Medicare & Medicaid Services?
The Angelica Fontanez was issued its 1710175161 by the Centers for Medicare & Medicaid Services on 2007-10-11.
When was the Angelica Fontanez's information last updated?
The Angelica Fontanez's information was last updated on 2011-07-11.