Joan L Detel is a Clinical in Lisbon, Maine. Joan L Detel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan L Detel is 1790993236. The last update date is 2007-07-08.
Joan L Detel's current location address is 244 Lisbon St, Lisbon, Maine. You can contact this provider via phone number 2073534100. The mailing address for Joan L Detel is 244 Lisbon St, Lisbon, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan L Detel |
|---|---|
| Address | 244 Lisbon St, Lisbon, Maine |
| Phone Number | 2073534100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN, LMSW |
NPI Number Detail
| NPI Number | 1790993236 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 244 Lisbon St |
|---|---|
| City | Lisbon |
| State | Maine (ME) |
| Post Code | 42506866 |
| Phone Number | 2073534100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LM4291 |
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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 Joan L Detel's 1790993236?
The Joan L Detel's NPI (National Provider Identifier) Number is 1790993236. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joan L Detel's physical address?
The Joan L Detel is physically located at 244 Lisbon St, in the city of Lisbon, ME, with the postal code 42506866.
What is the Joan L Detel's specialty and taxonomy code?
The Joan L Detel's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Joan L Detel receive its 1790993236 assignment from the Centers for Medicare & Medicaid Services?
The Joan L Detel was assigned its 1790993236 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information pertaining to Joan L Detel most recently updated or revised?
The details related to Joan L Detel, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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