David Stuart Douglas in Arlington - Clinical

David Stuart Douglas - NPI 1457475089

David Stuart Douglas is a Clinical in Arlington, Massachusetts. David Stuart Douglas practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Stuart Douglas is 1457475089. The last update date is 2007-07-08.

David Stuart Douglas's current location address is 279 Massachusetts Ave, Arlington, Massachusetts. You can contact this provider via phone number 7817771726. The mailing address for David Stuart Douglas is 279 Massachusetts Ave, Arlington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name David Stuart Douglas
Address 279 Massachusetts Ave, Arlington, Massachusetts
Phone Number 7817771726
Fax Number
Sole Proprietor Y
Credentials MSW, LICSW

NPI Number Detail

NPI Number 1457475089
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 279 Massachusetts Ave
City Arlington
State Massachusetts (MA)
Post Code 24748302
Phone Number 7817771726
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1018400
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PO5220 MA BLUE CROSS BLUE SHIELD

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FAQs about David Stuart Douglas

What is the unique provider identifier assigned to David Stuart Douglas?

The David Stuart Douglas has been issued the NPI (National Provider Identifier) 1457475089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where David Stuart Douglas is physically located?

The David Stuart Douglas is situated at the following address: 279 Massachusetts Ave, Arlington, MA 24748302.

What is the David Stuart Douglas's area of specialization and corresponding taxonomy classification?

The David Stuart Douglas'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 David Stuart Douglas receive its 1457475089 assignment from the Centers for Medicare & Medicaid Services?

The David Stuart Douglas was assigned its 1457475089 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the David Stuart Douglas's information last updated?

The David Stuart Douglas's information was last updated on 2007-07-08.

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