Demetrios Nicolas Kostas in Wallingford - Clinical
Demetrios Nicolas Kostas - NPI 1790975092
Demetrios Nicolas Kostas is a Clinical in Wallingford, Connecticut. Demetrios Nicolas Kostas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Demetrios Nicolas Kostas is 1790975092. The last update date is 2007-08-01.
Demetrios Nicolas Kostas's current location address is 185 Center Street, Wallingford, Connecticut. You can contact this provider via phone number 2032654580. The mailing address for Demetrios Nicolas Kostas is 185 Center Street, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demetrios Nicolas Kostas |
|---|---|
| Address | 185 Center Street, Wallingford, Connecticut |
| Phone Number | 2032654580 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1790975092 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 185 Center Street |
|---|---|
| City | Wallingford |
| State | Connecticut (CT) |
| Post Code | 6492 |
| Phone Number | 2032654580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5822 |
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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 Demetrios Nicolas Kostas's 1790975092?
The Demetrios Nicolas Kostas's NPI (National Provider Identifier) Number is 1790975092. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Demetrios Nicolas Kostas located?
The Demetrios Nicolas Kostas is located at 185 Center Street, Wallingford, CT 6492.
What is the Demetrios Nicolas Kostas's specialty and taxonomy code?
The Demetrios Nicolas Kostas's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Demetrios Nicolas Kostas receive the assignment of its 1790975092 from the Centers for Medicare & Medicaid Services?
The Demetrios Nicolas Kostas was issued its 1790975092 by the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date were the details related to Demetrios Nicolas Kostas most recently updated or revised?
The information pertaining to Demetrios Nicolas Kostas, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-01.