Michael John Dematteo in Bangor - Clinical
Michael John Dematteo - NPI 1437296340
Michael John Dematteo is a Clinical in Bangor, Maine. Michael John Dematteo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael John Dematteo is 1437296340. The last update date is 2019-07-02.
Michael John Dematteo's current location address is 6 State St, Bangor, Maine. You can contact this provider via phone number 2079421944 and fax number 2079421944. The mailing address for Michael John Dematteo is 6 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Dematteo |
|---|---|
| Address | 6 State St, Bangor, Maine |
| Phone Number | 2079421944 |
| Fax Number | 2079421944 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1437296340 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 6 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 440151120 |
| Phone Number | 2079421944 |
| Fax Number | 2079421944 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC5117 |
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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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What is the Michael John Dematteo's 1437296340?
The Michael John Dematteo's NPI (National Provider Identifier) Number is 1437296340. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael John Dematteo is physically located?
The Michael John Dematteo is physically situated at the following address: 6 State St, Bangor, ME, 440151120.
What is the Michael John Dematteo's area of specialization and corresponding taxonomy classification?
The Michael John Dematteo's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Michael John Dematteo receive its 1437296340?
The Michael John Dematteo was issued its 1437296340 on 2007-01-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael John Dematteo most recently updated or revised?
The details related to Michael John Dematteo, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-02.