Edwin G Taetsch is a Clinical in New London, Connecticut. Edwin G Taetsch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edwin G Taetsch is 1164445581. The last update date is 2018-12-13.
Edwin G Taetsch's current location address is 21 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604396400. The mailing address for Edwin G Taetsch is 21 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin G Taetsch |
|---|---|
| Address | 21 Montauk Ave, New London, Connecticut |
| Phone Number | 8604396400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164445581 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2018-12-13 |
Provider Mailing Address Detail
| Address | 21 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204906 |
| Phone Number | 8604396400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2002025562 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200912137 | MO | -- | |
| 8065427 | CT | -- | |
| 469004813 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edwin G Taetsch by the Centers for Medicare & Medicaid Services?
The Edwin G Taetsch has been issued the NPI (National Provider Identifier) 1164445581 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Edwin G Taetsch is geographically located?
The Edwin G Taetsch is physically situated at the following location: 21 Montauk Ave, New London, CT, 63204906.
What is Edwin G Taetsch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edwin G Taetsch is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164445581 to Edwin G Taetsch?
The Centers for Medicare & Medicaid Services originally issued the 1164445581 to Edwin G Taetsch on 2006-07-26.
When was the information regarding Edwin G Taetsch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edwin G Taetsch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-12-13.