Stacey Edwards is a Clinical in Brockton, Massachusetts. Stacey Edwards practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Edwards is 1184739625. The last update date is 2007-07-08.
Stacey Edwards's current location address is 940 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 7748261488 and fax number 7748262571. The mailing address for Stacey Edwards is 940 Belmont St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey Edwards |
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Address | 940 Belmont St, Brockton, Massachusetts |
Phone Number | 7748261488 |
Fax Number | 7748262571 |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1184739625 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 940 Belmont St |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 23015596 |
Phone Number | 7748261488 |
Fax Number | 7748262571 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 113805 |
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 Stacey Edwards's unique identification number?
The Stacey Edwards has been assigned the NPI (National Provider Identifier) Number 1184739625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Stacey Edwards?
The Stacey Edwards is physically situated at 940 Belmont St, in the city of Brockton, state of MA, with the postal code 23015596.
What is Stacey Edwards's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey Edwards is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Stacey Edwards receive the assignment of its 1184739625 from the Centers for Medicare & Medicaid Services?
The Stacey Edwards was issued its 1184739625 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information pertaining to Stacey Edwards most recently updated or revised?
The details related to Stacey Edwards, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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