Leonor Vazquez in Willimantic - Clinical

Leonor Vazquez - NPI 1114092004

Leonor Vazquez is a Clinical in Willimantic, Connecticut. Leonor Vazquez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leonor Vazquez is 1114092004. The last update date is 2014-11-24.

Leonor Vazquez's current location address is 132 Mansfield Ave, Willimantic, Connecticut. You can contact this provider via phone number 8607742020 and fax number 8607795437. The mailing address for Leonor Vazquez is 132 Mansfield Ave, Willimantic, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Leonor Vazquez
Address 132 Mansfield Ave, Willimantic, Connecticut
Phone Number 8607742020
Fax Number 8607795437
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1114092004
Provider Enumeration Date 2006-11-24
Last Updated Date 2014-11-24

Provider Mailing Address Detail

Address 132 Mansfield Ave
City Willimantic
State Connecticut (CT)
Post Code 62262027
Phone Number 8607742020
Fax Number 8607795437

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2993
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
4040564 CT --

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FAQs about Leonor Vazquez

What is the Leonor Vazquez's 1114092004?

The Leonor Vazquez's NPI (National Provider Identifier) Number is 1114092004. 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 address where Leonor Vazquez is geographically located?

The Leonor Vazquez is physically situated at the following location: 132 Mansfield Ave, Willimantic, CT, 62262027.

What is Leonor Vazquez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Leonor Vazquez is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114092004 to Leonor Vazquez?

The Leonor Vazquez received its 1114092004 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.

As of what date were the details pertaining to Leonor Vazquez last refreshed?

The information related to the Leonor Vazquez, including its address, specialty, and other relevant details, was last updated on 2014-11-24.

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