Lucy Priest in Mystic - Clinical

Lucy Priest - NPI 1639282247

Lucy Priest is a Clinical in Mystic, Connecticut. Lucy Priest practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lucy Priest is 1639282247. The last update date is 2008-08-01.

Lucy Priest's current location address is 11 Main St, Mystic, Connecticut. You can contact this provider via phone number 8605724995 and fax number 8605724987. The mailing address for Lucy Priest is 11 Main St, Mystic, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lucy Priest
Address 11 Main St, Mystic, Connecticut
Phone Number 8605724995
Fax Number 8605724987
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1639282247
Provider Enumeration Date 2006-08-16
Last Updated Date 2008-08-01

Provider Mailing Address Detail

Address 11 Main St
City Mystic
State Connecticut (CT)
Post Code 63553654
Phone Number 8605724995
Fax Number 8605724987

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 5413
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
4229169 CT --

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FAQs about Lucy Priest

What is the unique identifier code issued to Lucy Priest by the Centers for Medicare & Medicaid Services (CMS)?

The Lucy Priest has been assigned the NPI (National Provider Identifier) 1639282247. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Lucy Priest?

The Lucy Priest is situated at 11 Main St, in the city of Mystic, state of CT, with the zip code 63553654.

What is Lucy Priest's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lucy Priest's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did Lucy Priest receive its 1639282247 assignment from the Centers for Medicare & Medicaid Services?

The Lucy Priest was assigned its 1639282247 on 2006-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lucy Priest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lucy Priest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-01.

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