Joann Averill is a Clinical in Mansfield Center, Connecticut. Joann Averill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joann Averill is 1285766451. The last update date is 2007-07-08.
Joann Averill's current location address is Po Box 128, Mansfield Center, Connecticut. You can contact this provider via phone number 8604236572 and fax number 8604501352. The mailing address for Joann Averill is Po Box 128, Mansfield Center, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joann Averill |
|---|---|
| Address | Po Box 128, Mansfield Center, Connecticut |
| Phone Number | 8604236572 |
| Fax Number | 8604501352 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1285766451 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 128 |
|---|---|
| City | Mansfield Center |
| State | Connecticut (CT) |
| Post Code | 62500128 |
| Phone Number | 8604236572 |
| Fax Number | 8604501352 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4968 |
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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 assigned to Joann Averill by the Centers for Medicare & Medicaid Services?
The Joann Averill has been issued the NPI (National Provider Identifier) 1285766451 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Joann Averill's physical address?
The Joann Averill is physically located at Po Box 128, in the city of Mansfield Center, CT, with the postal code 62500128.
What is Joann Averill's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Joann Averill is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Joann Averill receive the assignment of its 1285766451 from the Centers for Medicare & Medicaid Services?
The Joann Averill was issued its 1285766451 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information pertaining to Joann Averill most recently updated or revised?
The details related to Joann Averill, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.