Douglas Foresta is a Clinical in Chicopee, Massachusetts. Douglas Foresta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Foresta is 1124238415. The last update date is 2011-12-30.
Douglas Foresta's current location address is 90 Walnut St, Chicopee, Massachusetts. You can contact this provider via phone number 4138835518. The mailing address for Douglas Foresta is 90 Walnut St, Chicopee, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Foresta |
|---|---|
| Address | 90 Walnut St, Chicopee, Massachusetts |
| Phone Number | 4138835518 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1124238415 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2011-12-30 |
Provider Mailing Address Detail
| Address | 90 Walnut St |
|---|---|
| City | Chicopee |
| State | Massachusetts (MA) |
| Post Code | 10201857 |
| Phone Number | 4138835518 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 116690 |
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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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What is the unique identification code assigned to Douglas Foresta by the Centers for Medicare & Medicaid Services?
The Douglas Foresta has been issued the NPI (National Provider Identifier) 1124238415. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Douglas Foresta's facilities are situated?
The facilities of Douglas Foresta are physically located at the following address: 90 Walnut St, Chicopee, MA, 10201857.
What is Douglas Foresta's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Foresta's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Douglas Foresta receive its 1124238415?
The Douglas Foresta was issued its 1124238415 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
As of what date were the Douglas Foresta's details last updated?
The information pertaining to the Douglas Foresta, including its address, specialty, and other details, was most recently updated on 2011-12-30.
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