Edwin Renaud in New Haven - Clinical

Edwin Renaud - NPI 1851550636

Edwin Renaud is a Clinical in New Haven, Connecticut. Edwin Renaud practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edwin Renaud is 1851550636. The last update date is 2008-06-05.

Edwin Renaud's current location address is 205 Orange Street, New Haven, Connecticut. You can contact this provider via phone number 2037872111 and fax number 2033979077. The mailing address for Edwin Renaud is 205 Orange Street, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Renaud
Address 205 Orange Street, New Haven, Connecticut
Phone Number 2037872111
Fax Number 2033979077
Sole Proprietor N
Credentials LCSW PHD

NPI Number Detail

NPI Number 1851550636
Provider Enumeration Date 2008-06-05
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address 205 Orange Street
City New Haven
State Connecticut (CT)
Post Code 65102014
Phone Number 2037872111
Fax Number 2033979077

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4316
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
4212148 CT --
CTGA000525 CT DMHAS

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FAQs about Edwin Renaud

What is the unique 10-digit identification code assigned to Edwin Renaud by the Centers for Medicare & Medicaid Services?

The Edwin Renaud has been issued the NPI (National Provider Identifier) 1851550636, which 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 Edwin Renaud?

The Edwin Renaud is physically situated at 205 Orange Street, in the city of New Haven, state of CT, with the postal code 65102014.

What is Edwin Renaud'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 Edwin Renaud is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Edwin Renaud receive its 1851550636 assignment from the Centers for Medicare & Medicaid Services?

The Edwin Renaud was assigned its 1851550636 by the Centers for Medicare & Medicaid Services on 2008-06-05.

When was the information pertaining to Edwin Renaud most recently updated or revised?

The details related to Edwin Renaud, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-05.

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