Ellice Lynn Matza is a Clinical in New Haven, Connecticut. Ellice Lynn Matza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellice Lynn Matza is 1962600973. The last update date is 2007-07-11.
Ellice Lynn Matza's current location address is 493 Fountain St, New Haven, Connecticut. You can contact this provider via phone number 5182331152. The mailing address for Ellice Lynn Matza is 493 Fountain St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellice Lynn Matza |
|---|---|
| Address | 493 Fountain St, New Haven, Connecticut |
| Phone Number | 5182331152 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1962600973 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 493 Fountain St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65151830 |
| Phone Number | 5182331152 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0182851 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ellice Lynn Matza by the Centers for Medicare & Medicaid Services?
The Ellice Lynn Matza has been issued the NPI (National Provider Identifier) 1962600973 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ellice Lynn Matza?
The Ellice Lynn Matza is situated at 493 Fountain St, in the city of New Haven, state of CT, with the zip code 65151830.
What is Ellice Lynn Matza's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ellice Lynn Matza is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962600973 to Ellice Lynn Matza?
The Centers for Medicare & Medicaid Services originally issued the 1962600973 to Ellice Lynn Matza on 2007-07-11.
When was the information related to Ellice Lynn Matza most recently updated or refreshed?
The details pertaining to the Ellice Lynn Matza, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-11.