Deborah A Fisk is a Clinical in New Haven, Connecticut. Deborah A Fisk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah A Fisk is 1619043122. The last update date is 2007-07-08.
Deborah A Fisk's current location address is 34 Park St, New Haven, Connecticut. You can contact this provider via phone number 2039747417 and fax number 2039747413. The mailing address for Deborah A Fisk is 34 Park St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah A Fisk |
|---|---|
| Address | 34 Park St, New Haven, Connecticut |
| Phone Number | 2039747417 |
| Fax Number | 2039747413 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619043122 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 34 Park St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 6519 |
| Phone Number | 2039747417 |
| Fax Number | 2039747413 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3080 |
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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 Deborah A Fisk by the Centers for Medicare & Medicaid Services?
The Deborah A Fisk has been issued the NPI (National Provider Identifier) 1619043122. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Deborah A Fisk located?
The Deborah A Fisk is located at 34 Park St, New Haven, CT 6519.
What is the Deborah A Fisk's area of specialization and corresponding taxonomy classification?
The Deborah A Fisk's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619043122 to Deborah A Fisk?
The Centers for Medicare & Medicaid Services originally issued the 1619043122 to Deborah A Fisk on 2006-11-27.
As of what date were the details pertaining to Deborah A Fisk last refreshed?
The information related to the Deborah A Fisk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1841297926
Address: Po Box 220627, West Palm Beach, FL