Tsana Dimanin in Boston - Clinical

Tsana Dimanin - NPI 1912162306

Tsana Dimanin is a Clinical in Boston, Massachusetts. Tsana Dimanin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tsana Dimanin is 1912162306. The last update date is 2012-08-01.

Tsana Dimanin's current location address is 25 Staniford St, Boston, Massachusetts. You can contact this provider via phone number 6179127800 and fax number 6177233919. The mailing address for Tsana Dimanin is 25 Staniford St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Tsana Dimanin
Address 25 Staniford St, Boston, Massachusetts
Phone Number 6179127800
Fax Number 6177233919
Sole Proprietor N
Credentials M.S.W.

NPI Number Detail

NPI Number 1912162306
Provider Enumeration Date 2008-07-24
Last Updated Date 2012-08-01

Provider Mailing Address Detail

Address 25 Staniford St
City Boston
State Massachusetts (MA)
Post Code 21142503
Phone Number 6179127800
Fax Number 6177233919

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 116655
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
2491401 MEDICARE PTAN

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FAQs about Tsana Dimanin

What is the Tsana Dimanin's 1912162306?

The Tsana Dimanin's NPI (National Provider Identifier) Number is 1912162306. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tsana Dimanin is physically located?

The Tsana Dimanin is situated at the following address: 25 Staniford St, Boston, MA 21142503.

What is Tsana Dimanin's area of expertise and its corresponding taxonomy classification?

The Tsana Dimanin's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

When was the Tsana Dimanin's 1912162306 issued?

The Tsana Dimanin's 1912162306 was issued on 2008-07-24.

As of what date were the details related to Tsana Dimanin most recently updated or revised?

The information pertaining to Tsana Dimanin, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-01.

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