Tanja Eve Larsen is a Clinical in Manchester, Connecticut. Tanja Eve Larsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tanja Eve Larsen is 1609977685. The last update date is 2007-07-08.
Tanja Eve Larsen's current location address is 317 N Main St, Manchester, Connecticut. You can contact this provider via phone number 8606432101 and fax number 8606451470. The mailing address for Tanja Eve Larsen is 317 N Main St, Manchester, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanja Eve Larsen |
|---|---|
| Address | 317 N Main St, Manchester, Connecticut |
| Phone Number | 8606432101 |
| Fax Number | 8606451470 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609977685 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 317 N Main St |
|---|---|
| City | Manchester |
| State | Connecticut (CT) |
| Post Code | 60422007 |
| Phone Number | 8606432101 |
| Fax Number | 8606451470 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5018 |
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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 Tanja Eve Larsen's unique identification number?
The Tanja Eve Larsen has been assigned the NPI (National Provider Identifier) Number 1609977685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tanja Eve Larsen located?
The Tanja Eve Larsen is located at 317 N Main St, Manchester, CT 60422007.
What is Tanja Eve Larsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tanja Eve Larsen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Tanja Eve Larsen's 1609977685 issued?
The Tanja Eve Larsen's 1609977685 was issued on 2006-09-25.
When was the Tanja Eve Larsen's information last updated?
The Tanja Eve Larsen's information was last updated on 2007-07-08.
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