Kathaleen M Klotz in Ellicott City - Clinical
Kathaleen M Klotz - NPI 1760697056
Kathaleen M Klotz is a Clinical in Ellicott City, Maryland. Kathaleen M Klotz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathaleen M Klotz is 1760697056. The last update date is 2007-07-08.
Kathaleen M Klotz's current location address is 3355 St. John's Lane, Ellicott City, Maryland. You can contact this provider via phone number 4433104980 and fax number 4104800110. The mailing address for Kathaleen M Klotz is 3355 St. John's Lane, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathaleen M Klotz |
|---|---|
| Address | 3355 St. John's Lane, Ellicott City, Maryland |
| Phone Number | 4433104980 |
| Fax Number | 4104800110 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW- |
NPI Number Detail
| NPI Number | 1760697056 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3355 St. John's Lane |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 21042 |
| Phone Number | 4433104980 |
| Fax Number | 4104800110 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10769 |
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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 unique 10-digit identifier code issued to Kathaleen M Klotz by the Centers for Medicare & Medicaid Services?
The Kathaleen M Klotz has been assigned the NPI (National Provider Identifier) 1760697056 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kathaleen M Klotz's physical address?
The Kathaleen M Klotz is physically located at 3355 St. John'S Lane, in the city of Ellicott City, MD, with the postal code 21042.
What is Kathaleen M Klotz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathaleen M Klotz is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Kathaleen M Klotz receive the assignment of its 1760697056 from the Centers for Medicare & Medicaid Services?
The Kathaleen M Klotz was issued its 1760697056 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date were the details pertaining to Kathaleen M Klotz last refreshed?
The information related to the Kathaleen M Klotz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.