Dwayne Hogan is a Clinical in Saco, Maine. Dwayne Hogan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dwayne Hogan is 1699783050. The last update date is 2007-07-08.
Dwayne Hogan's current location address is 50 Moody St, Saco, Maine. You can contact this provider via phone number 2072944657. The mailing address for Dwayne Hogan is 50 Moody St, Saco, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Hogan |
|---|---|
| Address | 50 Moody St, Saco, Maine |
| Phone Number | 2072944657 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699783050 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Moody St |
|---|---|
| City | Saco |
| State | Maine (ME) |
| Post Code | 40721536 |
| Phone Number | 2072944657 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC7667 |
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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 |
|---|---|---|---|
| 431482699 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dwayne Hogan by the Centers for Medicare & Medicaid Services (CMS)?
The Dwayne Hogan has been assigned the NPI (National Provider Identifier) 1699783050. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Dwayne Hogan?
The Dwayne Hogan is situated at 50 Moody St, in the city of Saco, state of ME, with the zip code 40721536.
What is the Dwayne Hogan's area of specialization and corresponding taxonomy classification?
The Dwayne Hogan'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 issue the 1699783050 to Dwayne Hogan?
The Dwayne Hogan received its 1699783050 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details related to Dwayne Hogan most recently updated or revised?
The information pertaining to Dwayne Hogan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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