Andrea Lynn Commarata in Cockeysville - Clinical
Andrea Lynn Commarata - NPI 1104918168
Andrea Lynn Commarata is a Clinical in Cockeysville, Maryland. Andrea Lynn Commarata practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Lynn Commarata is 1104918168. The last update date is 2007-07-08.
Andrea Lynn Commarata's current location address is 10400 Ridgland Road, Cockeysville, Maryland. You can contact this provider via phone number 4106286120 and fax number 4106289825. The mailing address for Andrea Lynn Commarata is 10400 Ridgland Road, Cockeysville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Lynn Commarata |
|---|---|
| Address | 10400 Ridgland Road, Cockeysville, Maryland |
| Phone Number | 4106286120 |
| Fax Number | 4106289825 |
| Sole Proprietor | N |
| Credentials | LCSW C |
NPI Number Detail
| NPI Number | 1104918168 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10400 Ridgland Road |
|---|---|
| City | Cockeysville |
| State | Maryland (MD) |
| Post Code | 21030 |
| Phone Number | 4106286120 |
| Fax Number | 4106289825 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2856 |
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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 |
|---|---|---|---|
| 273761 | COM PSYCH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Andrea Lynn Commarata?
The Andrea Lynn Commarata has been issued the NPI (National Provider Identifier) 1104918168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Andrea Lynn Commarata is physically located?
The Andrea Lynn Commarata is situated at the following address: 10400 Ridgland Road, Cockeysville, MD 21030.
What is Andrea Lynn Commarata's area of expertise and its corresponding taxonomy classification?
The Andrea Lynn Commarata's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Andrea Lynn Commarata receive the assignment of its 1104918168 from the Centers for Medicare & Medicaid Services?
The Andrea Lynn Commarata was issued its 1104918168 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details related to Andrea Lynn Commarata most recently updated or revised?
The information pertaining to Andrea Lynn Commarata, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.