Tom Pedulla is a Clinical in Arlington, Massachusetts. Tom Pedulla practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tom Pedulla is 1053418608. The last update date is 2020-05-21.
Tom Pedulla's current location address is 390 Massachusetts Ave, Arlington, Massachusetts. You can contact this provider via phone number 6178030951 and fax number 7816430039. The mailing address for Tom Pedulla is 390 Massachusetts Ave, Arlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Pedulla |
|---|---|
| Address | 390 Massachusetts Ave, Arlington, Massachusetts |
| Phone Number | 6178030951 |
| Fax Number | 7816430039 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1053418608 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2020-05-21 |
Provider Mailing Address Detail
| Address | 390 Massachusetts Ave |
|---|---|
| City | Arlington |
| State | Massachusetts (MA) |
| Post Code | 24746799 |
| Phone Number | 6178030951 |
| Fax Number | 7816430039 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111597 |
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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 |
|---|---|---|---|
| $$$$$$$$$ | MA | SSN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tom Pedulla by the Centers for Medicare & Medicaid Services?
The Tom Pedulla has been assigned the NPI (National Provider Identifier) 1053418608 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tom Pedulla is physically located?
The Tom Pedulla is situated at the following address: 390 Massachusetts Ave, Arlington, MA 24746799.
Could you please share the complete physical location address where Tom Pedulla's facilities are situated?
The facilities of Tom Pedulla are physically located at the following address: 390 Massachusetts Ave, Arlington, MA, 24746799.
On what date did the Tom Pedulla receive the assignment of its 1053418608 from the Centers for Medicare & Medicaid Services?
The Tom Pedulla was issued its 1053418608 by the Centers for Medicare & Medicaid Services on 2006-09-17.
As of what date was the information pertaining to Tom Pedulla, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tom Pedulla, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-05-21.