Tacie Dejanikus is a Clinical in Kensington, Maryland. Tacie Dejanikus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tacie Dejanikus is 1003968439. The last update date is 2007-07-08.
Tacie Dejanikus's current location address is 5319 Bangor Dr, Kensington, Maryland. You can contact this provider via phone number 3019331799. The mailing address for Tacie Dejanikus is 5319 Bangor Dr, Kensington, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tacie Dejanikus |
|---|---|
| Address | 5319 Bangor Dr, Kensington, Maryland |
| Phone Number | 3019331799 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1003968439 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5319 Bangor Dr |
|---|---|
| City | Kensington |
| State | Maryland (MD) |
| Post Code | 208951106 |
| Phone Number | 3019331799 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12476 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tacie Dejanikus by the Centers for Medicare & Medicaid Services?
The Tacie Dejanikus has been issued the NPI (National Provider Identifier) 1003968439 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tacie Dejanikus is geographically located?
The Tacie Dejanikus is physically situated at the following location: 5319 Bangor Dr, Kensington, MD, 208951106.
What is the Tacie Dejanikus's area of specialization and corresponding taxonomy classification?
The Tacie Dejanikus's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003968439 to Tacie Dejanikus?
The Centers for Medicare & Medicaid Services originally issued the 1003968439 to Tacie Dejanikus on 2007-01-17.
When was the information pertaining to Tacie Dejanikus most recently updated or revised?
The details related to Tacie Dejanikus, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.