Audrey R Ely is a Clinical in Dedham, Massachusetts. Audrey R Ely practices all healthcare services and medical treatments related to Clinical. The NPI Number for Audrey R Ely is 1417989088. The last update date is 2007-07-08.
Audrey R Ely's current location address is 47 Village Ave, Dedham, Massachusetts. You can contact this provider via phone number 7814611902. The mailing address for Audrey R Ely is 47 Village Ave, Dedham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey R Ely |
|---|---|
| Address | 47 Village Ave, Dedham, Massachusetts |
| Phone Number | 7814611902 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.I.C.S.W. |
NPI Number Detail
| NPI Number | 1417989088 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Village Ave |
|---|---|
| City | Dedham |
| State | Massachusetts (MA) |
| Post Code | 20264200 |
| Phone Number | 7814611902 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 100333 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Audrey R Ely by the Centers for Medicare & Medicaid Services (CMS)?
The Audrey R Ely has been assigned the NPI (National Provider Identifier) 1417989088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Audrey R Ely?
The Audrey R Ely is physically situated at 47 Village Ave, in the city of Dedham, state of MA, with the postal code 20264200.
What is Audrey R Ely's specialized field of practice, and what is the corresponding taxonomy classification code?
The Audrey R Ely's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Audrey R Ely receive its 1417989088 assignment from the Centers for Medicare & Medicaid Services?
The Audrey R Ely was assigned its 1417989088 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information pertaining to Audrey R Ely most recently updated or revised?
The details related to Audrey R Ely, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.