Donna Nickdow in Monroe - Clinical

Donna Nickdow - NPI 1780787911

Donna Nickdow is a Clinical in Monroe, Connecticut. Donna Nickdow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Nickdow is 1780787911. The last update date is 2017-12-13.

Donna Nickdow's current location address is 38 Purdy Hill Rd, Monroe, Connecticut. You can contact this provider via phone number 2039249426 and fax number 2039249426. The mailing address for Donna Nickdow is 38 Purdy Hill Rd, Monroe, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Donna Nickdow
Address 38 Purdy Hill Rd, Monroe, Connecticut
Phone Number 2039249426
Fax Number 2039249426
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1780787911
Provider Enumeration Date 2006-09-06
Last Updated Date 2017-12-13

Provider Mailing Address Detail

Address 38 Purdy Hill Rd
City Monroe
State Connecticut (CT)
Post Code 64682215
Phone Number 2039249426
Fax Number 2039249426

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 3580
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
140003580CT01 CT BLUE CROSS

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FAQs about Donna Nickdow

What is the unique 10-digit identification code issued to Donna Nickdow by the Centers for Medicare & Medicaid Services?

The Donna Nickdow has been assigned the NPI (National Provider Identifier) 1780787911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Donna Nickdow?

The Donna Nickdow is physically situated at 38 Purdy Hill Rd, in the city of Monroe, state of CT, with the postal code 64682215.

What is Donna Nickdow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Donna Nickdow is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780787911 to Donna Nickdow?

The Centers for Medicare & Medicaid Services originally issued the 1780787911 to Donna Nickdow on 2006-09-06.

As of what date was the information pertaining to Donna Nickdow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Donna Nickdow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-12-13.

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