Ivelisse Slaven is a Clinical in Augusta, Maine. Ivelisse Slaven practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ivelisse Slaven is 1467409615. The last update date is 2020-08-25.
Ivelisse Slaven's current location address is 1 Va Ctr, Augusta, Maine. You can contact this provider via phone number 2076238411. The mailing address for Ivelisse Slaven is 1 Va Ctr, Augusta, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivelisse Slaven |
|---|---|
| Address | 1 Va Ctr, Augusta, Maine |
| Phone Number | 2076238411 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467409615 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2020-08-25 |
Provider Mailing Address Detail
| Address | 1 Va Ctr |
|---|---|
| City | Augusta |
| State | Maine (ME) |
| Post Code | 43306795 |
| Phone Number | 2076238411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC8692 |
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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 |
|---|---|---|---|
| 98304 | ME | ANTHEM LEGACY NUMBER | |
| 294220099 | ME | -- |
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What is the unique 10-digit identification code issued to Ivelisse Slaven by the Centers for Medicare & Medicaid Services?
The Ivelisse Slaven has been assigned the NPI (National Provider Identifier) 1467409615 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ivelisse Slaven?
The Ivelisse Slaven is situated at 1 Va Ctr, in the city of Augusta, state of ME, with the zip code 43306795.
What is Ivelisse Slaven's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ivelisse Slaven's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Ivelisse Slaven's 1467409615 issued?
The Ivelisse Slaven's 1467409615 was issued on 2006-05-30.
As of what date were the Ivelisse Slaven's details last updated?
The information pertaining to the Ivelisse Slaven, including its address, specialty, and other details, was most recently updated on 2020-08-25.