Shane Sullivan Simpson in New Gloucester - Clinical

Shane Sullivan Simpson - NPI 1053471995

Shane Sullivan Simpson is a Clinical in New Gloucester, Maine. Shane Sullivan Simpson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shane Sullivan Simpson is 1053471995. The last update date is 2007-07-08.

Shane Sullivan Simpson's current location address is 164 Intervale Rd, New Gloucester, Maine. You can contact this provider via phone number 2078075610. The mailing address for Shane Sullivan Simpson is 164 Intervale Rd, New Gloucester, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane Sullivan Simpson
Address 164 Intervale Rd, New Gloucester, Maine
Phone Number 2078075610
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1053471995
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 164 Intervale Rd
City New Gloucester
State Maine (ME)
Post Code 42603812
Phone Number 2078075610
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC8693
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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FAQs about Shane Sullivan Simpson

What is the unique 10-digit identification code issued to Shane Sullivan Simpson by the Centers for Medicare & Medicaid Services?

The Shane Sullivan Simpson has been assigned the NPI (National Provider Identifier) 1053471995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Shane Sullivan Simpson's facilities are geographically located?

The facilities of Shane Sullivan Simpson are physically situated at the following location: 164 Intervale Rd, New Gloucester, ME, 42603812.

What is the area of specialization for Shane Sullivan Simpson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shane Sullivan Simpson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053471995 to Shane Sullivan Simpson?

The Centers for Medicare & Medicaid Services assigned the 1053471995 to Shane Sullivan Simpson on 2006-12-11.

When was the information pertaining to Shane Sullivan Simpson most recently updated or revised?

The details related to Shane Sullivan Simpson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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