Cheryl Tedesco is a Clinical in Ansonia, Connecticut. Cheryl Tedesco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cheryl Tedesco is 1699877589. The last update date is 2007-07-08.
Cheryl Tedesco's current location address is 205 Wakelee Ave, Ansonia, Connecticut. You can contact this provider via phone number 2037357481 and fax number 2037355021. The mailing address for Cheryl Tedesco is 205 Wakelee Ave, Ansonia, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cheryl Tedesco |
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Address | 205 Wakelee Ave, Ansonia, Connecticut |
Phone Number | 2037357481 |
Fax Number | 2037355021 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1699877589 |
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Provider Enumeration Date | 2006-09-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 205 Wakelee Ave |
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City | Ansonia |
State | Connecticut (CT) |
Post Code | 64011234 |
Phone Number | 2037357481 |
Fax Number | 2037355021 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4138 |
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 |
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140004138CT03 | CT | BLUE CROSS |
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What is the unique identification code assigned to Cheryl Tedesco by the Centers for Medicare & Medicaid Services?
The Cheryl Tedesco has been issued the NPI (National Provider Identifier) 1699877589. This 10-digit code 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 Cheryl Tedesco?
The Cheryl Tedesco is physically situated at 205 Wakelee Ave, in the city of Ansonia, state of CT, with the postal code 64011234.
What is Cheryl Tedesco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cheryl Tedesco'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 Cheryl Tedesco receive the assignment of its 1699877589 from the Centers for Medicare & Medicaid Services?
The Cheryl Tedesco was issued its 1699877589 by the Centers for Medicare & Medicaid Services on 2006-09-02.
When was the information regarding Cheryl Tedesco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cheryl Tedesco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.