Sandnes Smith Boulanger in Tampa - Clinical

Sandnes Smith Boulanger - NPI 1699939371

Sandnes Smith Boulanger is a Clinical in Tampa, Florida. Sandnes Smith Boulanger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandnes Smith Boulanger is 1699939371. The last update date is 2008-07-11.

Sandnes Smith Boulanger's current location address is 10909 Memorial Hwy, Tampa, Florida. You can contact this provider via phone number 8138641421 and fax number 8138641318. The mailing address for Sandnes Smith Boulanger is 10909 Memorial Hwy, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandnes Smith Boulanger
Address 10909 Memorial Hwy, Tampa, Florida
Phone Number 8138641421
Fax Number 8138641318
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1699939371
Provider Enumeration Date 2008-07-11
Last Updated Date 2008-07-11

Provider Mailing Address Detail

Address 10909 Memorial Hwy
City Tampa
State Florida (FL)
Post Code 336152511
Phone Number 8138641421
Fax Number 8138641318

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW6638
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
76412100 FL --

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FAQs about Sandnes Smith Boulanger

What is the unique identifier code issued to Sandnes Smith Boulanger by the Centers for Medicare & Medicaid Services (CMS)?

The Sandnes Smith Boulanger has been assigned the NPI (National Provider Identifier) 1699939371. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Sandnes Smith Boulanger's facilities are situated?

The facilities of Sandnes Smith Boulanger are physically located at the following address: 10909 Memorial Hwy, Tampa, FL, 336152511.

What is the Sandnes Smith Boulanger's area of specialization and corresponding taxonomy classification?

The Sandnes Smith Boulanger's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1699939371 to Sandnes Smith Boulanger?

The Centers for Medicare & Medicaid Services assigned the 1699939371 to Sandnes Smith Boulanger on 2008-07-11.

As of what date were the details related to Sandnes Smith Boulanger most recently updated or revised?

The information pertaining to Sandnes Smith Boulanger, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-11.

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