Vida Lynne Penn-Leon in Hagerstown - Clinical
Vida Lynne Penn-Leon - NPI 1225150980
Vida Lynne Penn-Leon is a Clinical in Hagerstown, Maryland. Vida Lynne Penn-Leon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vida Lynne Penn-Leon is 1225150980. The last update date is 2022-10-15.
Vida Lynne Penn-Leon's current location address is 1401 Haven Rd Apt B12, Hagerstown, Maryland. You can contact this provider via phone number 2404579505 and fax number 2403378598. The mailing address for Vida Lynne Penn-Leon is 1401 Haven Rd Apt B12, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vida Lynne Penn-Leon |
|---|---|
| Address | 1401 Haven Rd Apt B12, Hagerstown, Maryland |
| Phone Number | 2404579505 |
| Fax Number | 2403378598 |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1225150980 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2022-10-15 |
Provider Mailing Address Detail
| Address | 1401 Haven Rd Apt B12 |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217423097 |
| Phone Number | 2404579505 |
| Fax Number | 2403378598 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10379 |
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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 |
|---|---|---|---|
| 10379 | MD | LCSW-C |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vida Lynne Penn-Leon by the Centers for Medicare & Medicaid Services?
The Vida Lynne Penn-Leon has been issued the NPI (National Provider Identifier) 1225150980, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vida Lynne Penn-Leon?
The Vida Lynne Penn-Leon is physically situated at 1401 Haven Rd Apt B12, in the city of Hagerstown, state of MD, with the postal code 217423097.
What is Vida Lynne Penn-Leon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vida Lynne Penn-Leon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225150980 to Vida Lynne Penn-Leon?
The Centers for Medicare & Medicaid Services originally issued the 1225150980 to Vida Lynne Penn-Leon on 2007-04-04.
As of what date was the information regarding Vida Lynne Penn-Leon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vida Lynne Penn-Leon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-15.
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