Adele Redisch is a Clinical in Potomac, Maryland. Adele Redisch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Adele Redisch is 1821152497. The last update date is 2007-07-08.
Adele Redisch's current location address is 9420 Copenhaver Dr, Potomac, Maryland. You can contact this provider via phone number 3012790546. The mailing address for Adele Redisch is 9420 Copenhaver Dr, Potomac, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adele Redisch |
|---|---|
| Address | 9420 Copenhaver Dr, Potomac, Maryland |
| Phone Number | 3012790546 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1821152497 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9420 Copenhaver Dr |
|---|---|
| City | Potomac |
| State | Maryland (MD) |
| Post Code | 208543024 |
| Phone Number | 3012790546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4751 |
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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 |
|---|---|---|---|
| 191537 | MD | MHN | |
| 155567000 | MAGELLAN | ||
| 5685 | MD | CARE FIRST |
Post Comment/ Review Below
What is the unique identification code assigned to Adele Redisch by the Centers for Medicare & Medicaid Services?
The Adele Redisch has been issued the NPI (National Provider Identifier) 1821152497. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Adele Redisch's physical address?
The Adele Redisch is physically located at 9420 Copenhaver Dr, in the city of Potomac, MD, with the postal code 208543024.
What is Adele Redisch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Adele Redisch's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Adele Redisch receive its 1821152497 assignment?
The Adele Redisch was assigned its 1821152497 on 2006-12-20, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Adele Redisch most recently updated or revised?
The details related to Adele Redisch, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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