Gena Marie Rotas in East Longmeadow - Clinical

Gena Marie Rotas - NPI 1306927561

Gena Marie Rotas is a Clinical in East Longmeadow, Massachusetts. Gena Marie Rotas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gena Marie Rotas is 1306927561. The last update date is 2007-07-08.

Gena Marie Rotas's current location address is 39 Baymor Dr, East Longmeadow, Massachusetts. You can contact this provider via phone number 4136266528 and fax number 4135255905. The mailing address for Gena Marie Rotas is 39 Baymor Dr, East Longmeadow, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Gena Marie Rotas
Address 39 Baymor Dr, East Longmeadow, Massachusetts
Phone Number 4136266528
Fax Number 4135255905
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1306927561
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 39 Baymor Dr
City East Longmeadow
State Massachusetts (MA)
Post Code 10282211
Phone Number 4136266528
Fax Number 4135255905

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1029356
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
P08009 MA BLUECROSSBLUESHIELD

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FAQs about Gena Marie Rotas

What is the Gena Marie Rotas's 1306927561?

The Gena Marie Rotas's NPI (National Provider Identifier) Number is 1306927561. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gena Marie Rotas is physically located?

The Gena Marie Rotas is situated at the following address: 39 Baymor Dr, East Longmeadow, MA 10282211.

What is Gena Marie Rotas's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gena Marie Rotas's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306927561 to Gena Marie Rotas?

The Centers for Medicare & Medicaid Services originally issued the 1306927561 to Gena Marie Rotas on 2006-10-17.

As of what date was the information regarding Gena Marie Rotas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gena Marie Rotas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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