Vericare, Pc is a Clinical in Old Lyme, Connecticut. Vericare, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vericare, Pc is 1710935119. The last update date is 2017-07-11.
Vericare, Pc's current location address is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. You can contact this provider via phone number 8003703651 and fax number 8775157147. The mailing address for Vericare, Pc is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vericare, Pc |
|---|---|
| Address | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | King Melissa |
| Telephone Number | 8003703651 |
NPI Number Detail
| NPI Number | 1710935119 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2017-07-11 |
Provider Mailing Address Detail
| Address | 55 Hatchetts Hill Rd |
|---|---|
| City | Old Lyme |
| State | Connecticut (CT) |
| Post Code | 63711534 |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 136136212 | TX | -- | |
| CB3582 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Vericare, Pc's 1710935119?
The Vericare, Pc's NPI (National Provider Identifier) Number is 1710935119. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vericare, Pc's facilities are situated?
The facilities of Vericare, Pc are physically located at the following address: 55 Hatchetts Hill Rd, Old Lyme, CT, 63711534.
What is Vericare, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vericare, Pc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710935119 to Vericare, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1710935119 to Vericare, Pc on 2006-05-05.
As of what date was the information pertaining to Vericare, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vericare, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-07-11.