Jill Demello is a Clinical in Boston, Massachusetts. Jill Demello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Demello is 1013128321. The last update date is 2022-05-25.
Jill Demello's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173556000. The mailing address for Jill Demello is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Demello |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173556000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1013128321 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2022-05-25 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6173556000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111094 |
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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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What is the unique provider identifier assigned to Jill Demello?
The Jill Demello has been issued the NPI (National Provider Identifier) 1013128321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jill Demello?
The Jill Demello is physically situated at 300 Longwood Ave, in the city of Boston, state of MA, with the postal code 21155724.
What is Jill Demello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Demello's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013128321 to Jill Demello?
The Jill Demello received its 1013128321 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information pertaining to Jill Demello most recently updated or revised?
The details related to Jill Demello, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-25.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN