Renee Russian Taketomo in Arlington - Clinical

Renee Russian Taketomo - NPI 1710075338

Renee Russian Taketomo is a Clinical in Arlington, Massachusetts. Renee Russian Taketomo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Renee Russian Taketomo is 1710075338. The last update date is 2007-07-08.

Renee Russian Taketomo's current location address is 48 Irving St, Arlington, Massachusetts. You can contact this provider via phone number 7816411452 and fax number 7816414515. The mailing address for Renee Russian Taketomo is 48 Irving St, Arlington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Renee Russian Taketomo
Address 48 Irving St, Arlington, Massachusetts
Phone Number 7816411452
Fax Number 7816414515
Sole Proprietor Y
Credentials M.S.W.

NPI Number Detail

NPI Number 1710075338
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 48 Irving St
City Arlington
State Massachusetts (MA)
Post Code 24766441
Phone Number 7816411452
Fax Number 7816414515

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 100168
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
TAP01908 MA BLUECROSS/BLUESHIELD

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FAQs about Renee Russian Taketomo

What is the unique identifier code issued to Renee Russian Taketomo by the Centers for Medicare & Medicaid Services?

The Renee Russian Taketomo has been assigned the NPI (National Provider Identifier) 1710075338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Renee Russian Taketomo's facilities are geographically located?

The facilities of Renee Russian Taketomo are physically situated at the following location: 48 Irving St, Arlington, MA, 24766441.

What is Renee Russian Taketomo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Renee Russian Taketomo 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 1710075338 to Renee Russian Taketomo?

The Centers for Medicare & Medicaid Services originally issued the 1710075338 to Renee Russian Taketomo on 2006-10-10.

When was the information regarding Renee Russian Taketomo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Renee Russian Taketomo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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