Codman Square Health Center in Dorchester Center - Clinical

Codman Square Health Center - NPI 1801099346

Codman Square Health Center is a Clinical in Dorchester Center, Massachusetts. Codman Square Health Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Codman Square Health Center is 1801099346. The last update date is 2020-08-22.

Codman Square Health Center's current location address is 637 Washington St, Dorchester Center, Massachusetts. You can contact this provider via phone number 6178259660. The mailing address for Codman Square Health Center is 637 Washington St, Dorchester Center, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Codman Square Health Center
Address 637 Washington St, Dorchester Center, Massachusetts
Phone Number 6178259660
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Tao Jaiqi
Telephone Number 6178259660

NPI Number Detail

NPI Number 1801099346
Provider Enumeration Date 2007-06-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 637 Washington St
City Dorchester Center
State Massachusetts (MA)
Post Code 21243510
Phone Number 6178259660
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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
1211757 MA --

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FAQs about Codman Square Health Center

What is the unique 10-digit identification code assigned to Codman Square Health Center by the Centers for Medicare & Medicaid Services?

The Codman Square Health Center has been issued the NPI (National Provider Identifier) 1801099346, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Codman Square Health Center is physically located?

The Codman Square Health Center is physically situated at the following address: 637 Washington St, Dorchester Center, MA, 21243510.

What is Codman Square Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Codman Square Health Center is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Codman Square Health Center receive its 1801099346 assignment from the Centers for Medicare & Medicaid Services?

The Codman Square Health Center was assigned its 1801099346 by the Centers for Medicare & Medicaid Services on 2007-06-11.

As of what date were the Codman Square Health Center's details last updated?

The information pertaining to the Codman Square Health Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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