Joan E Prugh is a Clinical in Mansfield Center, Connecticut. Joan E Prugh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan E Prugh is 1114011160. The last update date is 2007-07-08.
Joan E Prugh's current location address is 12c Ledgebrook Dr Ste 2, Mansfield Center, Connecticut. You can contact this provider via phone number 8604509789 and fax number 8604873617. The mailing address for Joan E Prugh is 12c Ledgebrook Dr Ste 2, Mansfield Center, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan E Prugh |
|---|---|
| Address | 12c Ledgebrook Dr Ste 2, Mansfield Center, Connecticut |
| Phone Number | 8604509789 |
| Fax Number | 8604873617 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1114011160 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12c Ledgebrook Dr Ste 2 |
|---|---|
| City | Mansfield Center |
| State | Connecticut (CT) |
| Post Code | 62501664 |
| Phone Number | 8604509789 |
| Fax Number | 8604873617 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 531 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Joan E Prugh by the Centers for Medicare & Medicaid Services?
The Joan E Prugh has been assigned the NPI (National Provider Identifier) 1114011160. 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 Joan E Prugh?
The Joan E Prugh is situated at 12C Ledgebrook Dr Ste 2, in the city of Mansfield Center, state of CT, with the zip code 62501664.
What is Joan E Prugh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joan E Prugh is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114011160 to Joan E Prugh?
The Joan E Prugh received its 1114011160 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Joan E Prugh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joan E Prugh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.