Ellen B Koch is a Clinical in Middletown, Connecticut. Ellen B Koch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen B Koch is 1013082320. The last update date is 2007-07-08.
Ellen B Koch's current location address is River Valley Services, Middletown, Connecticut. You can contact this provider via phone number 8602625358 and fax number 8602625356. The mailing address for Ellen B Koch is River Valley Services, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen B Koch |
|---|---|
| Address | River Valley Services, Middletown, Connecticut |
| Phone Number | 8602625358 |
| Fax Number | 8602625356 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013082320 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | River Valley Services |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 6457 |
| Phone Number | 8602625358 |
| Fax Number | 8602625356 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2906 |
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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 identification code assigned to Ellen B Koch by the Centers for Medicare & Medicaid Services?
The Ellen B Koch has been issued the NPI (National Provider Identifier) 1013082320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ellen B Koch?
The Ellen B Koch is physically situated at River Valley Services, in the city of Middletown, state of CT, with the postal code 6457.
What is the Ellen B Koch's specialty and taxonomy code?
The Ellen B Koch's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1013082320 assigned to Ellen B Koch?
The Ellen B Koch was issued its 1013082320 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ellen B Koch most recently updated or revised?
The information pertaining to Ellen B Koch, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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