Carol S Zack is a Clinical in Portland, Maine. Carol S Zack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol S Zack is 1700989340. The last update date is 2007-07-08.
Carol S Zack's current location address is 95 Exchange St, Portland, Maine. You can contact this provider via phone number 2078711000 and fax number 2077730472. The mailing address for Carol S Zack is 95 Exchange St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol S Zack |
|---|---|
| Address | 95 Exchange St, Portland, Maine |
| Phone Number | 2078711000 |
| Fax Number | 2077730472 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700989340 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 95 Exchange St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4101 |
| Phone Number | 2078711000 |
| Fax Number | 2077730472 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC5688 |
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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 |
|---|---|---|---|
| 7288012 | AETNA | ||
| 27257 | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol S Zack by the Centers for Medicare & Medicaid Services?
The Carol S Zack has been issued the NPI (National Provider Identifier) 1700989340, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carol S Zack's physical address?
The Carol S Zack is physically located at 95 Exchange St, in the city of Portland, ME, with the postal code 4101.
What is the Carol S Zack's specialty and taxonomy code?
The Carol S Zack's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700989340 to Carol S Zack?
The Centers for Medicare & Medicaid Services assigned the 1700989340 to Carol S Zack on 2006-09-07.
When was the information related to Carol S Zack most recently updated or refreshed?
The details pertaining to the Carol S Zack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.