Deme Dellairo is a Clinical in Boise, Idaho. Deme Dellairo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deme Dellairo is 1952447450. The last update date is 2007-07-08.
Deme Dellairo's current location address is 1607 W Jefferson St, Boise, Idaho. You can contact this provider via phone number 2083365533 and fax number 2089474290. The mailing address for Deme Dellairo is 1607 W Jefferson St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deme Dellairo |
|---|---|
| Address | 1607 W Jefferson St, Boise, Idaho |
| Phone Number | 2083365533 |
| Fax Number | 2089474290 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1952447450 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1607 W Jefferson St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837025111 |
| Phone Number | 2083365533 |
| Fax Number | 2089474290 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW24873 |
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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 |
|---|---|---|---|
| 10143848 | ID | REGENCEBLUESHIELD | |
| L2870 | ID | BCI |
Post Comment/ Review Below
What is the Deme Dellairo's unique identification number?
The Deme Dellairo has been assigned the NPI (National Provider Identifier) Number 1952447450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Deme Dellairo's facilities are situated?
The facilities of Deme Dellairo are physically located at the following address: 1607 W Jefferson St, Boise, ID, 837025111.
What is Deme Dellairo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deme Dellairo is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952447450 to Deme Dellairo?
The Centers for Medicare & Medicaid Services originally issued the 1952447450 to Deme Dellairo on 2007-01-30.
As of what date were the Deme Dellairo's details last updated?
The information pertaining to the Deme Dellairo, including its address, specialty, and other details, was most recently updated on 2007-07-08.