Polly Walker Grant is a Clinical in Revere, Massachusetts. Polly Walker Grant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Polly Walker Grant is 1538286919. The last update date is 2007-07-08.
Polly Walker Grant's current location address is 300 Ocean Ave., Revere, Massachusetts. You can contact this provider via phone number 7814856111 and fax number 7814856119. The mailing address for Polly Walker Grant is 300 Ocean Ave., Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Polly Walker Grant |
|---|---|
| Address | 300 Ocean Ave., Revere, Massachusetts |
| Phone Number | 7814856111 |
| Fax Number | 7814856119 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1538286919 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Ocean Ave. |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 2151 |
| Phone Number | 7814856111 |
| Fax Number | 7814856119 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 100125 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100125 | MA | LICSW | |
| 4676 | SC | LISW-CP |
Post Comment/ Review Below
What is the unique identifier code issued to Polly Walker Grant by the Centers for Medicare & Medicaid Services?
The Polly Walker Grant has been assigned the NPI (National Provider Identifier) 1538286919. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Polly Walker Grant's physical address?
The Polly Walker Grant is physically located at 300 Ocean Ave., in the city of Revere, MA, with the postal code 2151.
What is Polly Walker Grant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Polly Walker Grant is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1538286919 assigned to Polly Walker Grant?
The Polly Walker Grant was issued its 1538286919 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Polly Walker Grant's details last updated?
The information pertaining to the Polly Walker Grant, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA