Elaine M Mccormack in Brockton - Clinical
Elaine M Mccormack - NPI 1255490124
Elaine M Mccormack is a Clinical in Brockton, Massachusetts. Elaine M Mccormack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elaine M Mccormack is 1255490124. The last update date is 2011-05-12.
Elaine M Mccormack's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417228 and fax number 5089416401. The mailing address for Elaine M Mccormack is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine M Mccormack |
|---|---|
| Address | 680 Centre St, Brockton, Massachusetts |
| Phone Number | 5089417228 |
| Fax Number | 5089416401 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1255490124 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2011-05-12 |
Provider Mailing Address Detail
| Address | 680 Centre St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23023308 |
| Phone Number | 5089417228 |
| Fax Number | 5089416401 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105198 |
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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 Elaine M Mccormack?
The Elaine M Mccormack has been issued the NPI (National Provider Identifier) 1255490124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Elaine M Mccormack's physical address?
The Elaine M Mccormack is physically located at 680 Centre St, in the city of Brockton, MA, with the postal code 23023308.
What is Elaine M Mccormack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elaine M Mccormack is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255490124 to Elaine M Mccormack?
The Centers for Medicare & Medicaid Services originally issued the 1255490124 to Elaine M Mccormack on 2006-12-07.
When was the information regarding Elaine M Mccormack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elaine M Mccormack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-05-12.
NPI Number: 1982607784
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