Carl Anthony Aveni in Brockton - Clinical
Carl Anthony Aveni - NPI 1174637086
Carl Anthony Aveni is a Clinical in Brockton, Massachusetts. Carl Anthony Aveni practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl Anthony Aveni is 1174637086. The last update date is 2007-07-08.
Carl Anthony Aveni's current location address is 940 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 7748261347 and fax number 7748263158. The mailing address for Carl Anthony Aveni is 940 Belmont St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Anthony Aveni |
|---|---|
| Address | 940 Belmont St, Brockton, Massachusetts |
| Phone Number | 7748261347 |
| Fax Number | 7748263158 |
| Sole Proprietor | N |
| Credentials | MSW LICSW |
NPI Number Detail
| NPI Number | 1174637086 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 940 Belmont St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015596 |
| Phone Number | 7748261347 |
| Fax Number | 7748263158 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | MA 100612 |
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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 |
|---|---|---|---|
| 100612 | MA | STATE SOCIAL WORK LICENSE |
Post Comment/ Review Below
What is the Carl Anthony Aveni's unique identification number?
The Carl Anthony Aveni has been assigned the NPI (National Provider Identifier) Number 1174637086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Carl Anthony Aveni is located?
The Carl Anthony Aveni is situated at the following address: 940 Belmont St, Brockton, MA, 23015596.
What is the Carl Anthony Aveni's specialty and taxonomy code?
The Carl Anthony Aveni's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Carl Anthony Aveni's 1174637086 issued?
The Carl Anthony Aveni's 1174637086 was issued on 2006-08-18.
When was the information regarding Carl Anthony Aveni most recently updated?
The details pertaining to the Carl Anthony Aveni, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.