Kathleen J Dezenzo is a Clinical in Amherst, Massachusetts. Kathleen J Dezenzo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen J Dezenzo is 1952385395. The last update date is 2016-04-21.
Kathleen J Dezenzo's current location address is 31 Hall Dr, Amherst, Massachusetts. You can contact this provider via phone number 8664314077 and fax number 4137747448. The mailing address for Kathleen J Dezenzo is 31 Hall Dr, Amherst, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen J Dezenzo |
|---|---|
| Address | 31 Hall Dr, Amherst, Massachusetts |
| Phone Number | 8664314077 |
| Fax Number | 4137747448 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1952385395 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2016-04-21 |
Provider Mailing Address Detail
| Address | 31 Hall Dr |
|---|---|
| City | Amherst |
| State | Massachusetts (MA) |
| Post Code | 10022778 |
| Phone Number | 8664314077 |
| Fax Number | 4137747448 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106680 |
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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 |
|---|---|---|---|
| P04647 | MA | BLUE CROSS BLUE SHIELD | |
| 1293395 | MA | FALLON | |
| 7337314 | MA | AETNA US/HEALTHCARE | |
| 2072422 | MA | CIGNA BEHAVIORAL HEALTH | |
| 106680 | MA | TUFTS HEALTH PLAN | |
| 28435 | MA | HEALTH NEW ENGLAND |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen J Dezenzo by the Centers for Medicare & Medicaid Services?
The Kathleen J Dezenzo has been assigned the NPI (National Provider Identifier) 1952385395. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen J Dezenzo is physically located?
The Kathleen J Dezenzo is physically situated at the following address: 31 Hall Dr, Amherst, MA, 10022778.
What is Kathleen J Dezenzo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathleen J Dezenzo is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952385395 to Kathleen J Dezenzo?
The Centers for Medicare & Medicaid Services assigned the 1952385395 to Kathleen J Dezenzo on 2005-11-30.
When was the information regarding Kathleen J Dezenzo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathleen J Dezenzo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-04-21.