Dennis Balcom is a Clinical in Cambridge, Massachusetts. Dennis Balcom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis Balcom is 1891785812. The last update date is 2010-05-14.
Dennis Balcom's current location address is 263 Concord Ave # 1, Cambridge, Massachusetts. You can contact this provider via phone number 6176611358 and fax number 6176611359. The mailing address for Dennis Balcom is 263 Concord Ave # 1, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dennis Balcom |
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Address | 263 Concord Ave # 1, Cambridge, Massachusetts |
Phone Number | 6176611358 |
Fax Number | 6176611359 |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1891785812 |
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Provider Enumeration Date | 2005-10-21 |
Last Updated Date | 2010-05-14 |
Provider Mailing Address Detail
Address | 263 Concord Ave # 1 |
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City | Cambridge |
State | Massachusetts (MA) |
Post Code | 21381336 |
Phone Number | 6176611358 |
Fax Number | 6176611359 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 100275 |
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 identifier code issued to Dennis Balcom by the Centers for Medicare & Medicaid Services (CMS)?
The Dennis Balcom has been assigned the NPI (National Provider Identifier) 1891785812. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Dennis Balcom is physically located?
The Dennis Balcom is physically situated at the following address: 263 Concord Ave # 1, Cambridge, MA, 21381336.
What is Dennis Balcom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dennis Balcom is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Dennis Balcom receive the assignment of its 1891785812 from the Centers for Medicare & Medicaid Services?
The Dennis Balcom was issued its 1891785812 by the Centers for Medicare & Medicaid Services on 2005-10-21.
When was the Dennis Balcom's information last updated?
The Dennis Balcom's information was last updated on 2010-05-14.