Clark-Doolittle Assoc Pc in Cambridge - Clinical
Clark-Doolittle Assoc Pc - NPI 1164417424
Clark-Doolittle Assoc Pc is a Clinical in Cambridge, Massachusetts. Clark-Doolittle Assoc Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clark-Doolittle Assoc Pc is 1164417424. The last update date is 2020-08-22.
Clark-Doolittle Assoc Pc's current location address is 71 Walker St, Cambridge, Massachusetts. You can contact this provider via phone number 6175477292 and fax number 8027632182. The mailing address for Clark-Doolittle Assoc Pc is 71 Walker St, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark-Doolittle Assoc Pc |
|---|---|
| Address | 71 Walker St, Cambridge, Massachusetts |
| Phone Number | 6175477292 |
| Fax Number | 8027632182 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Kim |
| Credentials | LICSW |
| Telephone Number | 6175477292 |
NPI Number Detail
| NPI Number | 1164417424 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 71 Walker St |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21382414 |
| Phone Number | 6175477292 |
| Fax Number | 8027632182 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000559 |
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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 |
|---|---|---|---|
| OUN2222 | VT | -- |
Post Comment/ Review Below
What is the Clark-Doolittle Assoc Pc's unique identification number?
The Clark-Doolittle Assoc Pc has been assigned the NPI (National Provider Identifier) Number 1164417424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Clark-Doolittle Assoc Pc is geographically located?
The Clark-Doolittle Assoc Pc is physically situated at the following location: 71 Walker St, Cambridge, MA, 21382414.
What is Clark-Doolittle Assoc Pc's area of expertise and its corresponding taxonomy classification?
The Clark-Doolittle Assoc Pc'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 Clark-Doolittle Assoc Pc's 1164417424 issued?
The Clark-Doolittle Assoc Pc's 1164417424 was issued on 2005-09-13.
When was the information related to Clark-Doolittle Assoc Pc most recently updated or refreshed?
The details pertaining to the Clark-Doolittle Assoc Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.