Mitchell Kenneth Page in Newington - Clinical
Mitchell Kenneth Page - NPI 1316127137
Mitchell Kenneth Page is a Clinical in Newington, Connecticut. Mitchell Kenneth Page practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mitchell Kenneth Page is 1316127137. The last update date is 2022-11-02.
Mitchell Kenneth Page's current location address is 39 Market Sq Ste 2, Newington, Connecticut. You can contact this provider via phone number 8608412559 and fax number 8603713488. The mailing address for Mitchell Kenneth Page is 39 Market Sq Ste 2, Newington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Kenneth Page |
|---|---|
| Address | 39 Market Sq Ste 2, Newington, Connecticut |
| Phone Number | 8608412559 |
| Fax Number | 8603713488 |
| Sole Proprietor | Y |
| Credentials | DSW, ACSW, |
NPI Number Detail
| NPI Number | 1316127137 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2022-11-02 |
Provider Mailing Address Detail
| Address | 39 Market Sq Ste 2 |
|---|---|
| City | Newington |
| State | Connecticut (CT) |
| Post Code | 61112929 |
| Phone Number | 8608412559 |
| Fax Number | 8603713488 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2042 |
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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 identifier code issued to Mitchell Kenneth Page by the Centers for Medicare & Medicaid Services?
The Mitchell Kenneth Page has been assigned the NPI (National Provider Identifier) 1316127137. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mitchell Kenneth Page?
The Mitchell Kenneth Page is physically situated at 39 Market Sq Ste 2, in the city of Newington, state of CT, with the postal code 61112929.
What is the Mitchell Kenneth Page's specialty and taxonomy code?
The Mitchell Kenneth Page's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316127137 to Mitchell Kenneth Page?
The Mitchell Kenneth Page received its 1316127137 assignment from the Centers for Medicare & Medicaid Services on 2007-11-08.
When was the information regarding Mitchell Kenneth Page, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mitchell Kenneth Page, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-02.