Rebecca Jean Faherty in Brockton - Clinical
Rebecca Jean Faherty - NPI 1699860148
Rebecca Jean Faherty is a Clinical in Brockton, Massachusetts. Rebecca Jean Faherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rebecca Jean Faherty is 1699860148. The last update date is 2010-12-14.
Rebecca Jean Faherty's current location address is 940 Belmont Street, Brockton, Massachusetts. You can contact this provider via phone number 5085834500 and fax number 7748262073. The mailing address for Rebecca Jean Faherty is 940 Belmont Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rebecca Jean Faherty |
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Address | 940 Belmont Street, Brockton, Massachusetts |
Phone Number | 5085834500 |
Fax Number | 7748262073 |
Sole Proprietor | N |
Credentials | LICSW, LAD |
NPI Number Detail
NPI Number | 1699860148 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2010-12-14 |
Provider Mailing Address Detail
Address | 940 Belmont Street |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 2601 |
Phone Number | 5085834500 |
Fax Number | 7748262073 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 114617 |
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 identification code assigned to Rebecca Jean Faherty by the Centers for Medicare & Medicaid Services?
The Rebecca Jean Faherty has been issued the NPI (National Provider Identifier) 1699860148. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rebecca Jean Faherty is physically located?
The Rebecca Jean Faherty is physically situated at the following address: 940 Belmont Street, Brockton, MA, 2601.
What is Rebecca Jean Faherty's area of expertise and its corresponding taxonomy classification?
The Rebecca Jean Faherty's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Rebecca Jean Faherty receive its 1699860148 assignment from the Centers for Medicare & Medicaid Services?
The Rebecca Jean Faherty was assigned its 1699860148 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Rebecca Jean Faherty most recently updated or revised?
The information pertaining to Rebecca Jean Faherty, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-14.