Howard C Blank in Fitchburg - Clinical

Howard C Blank - NPI 1114072410

Howard C Blank is a Clinical in Fitchburg, Massachusetts. Howard C Blank practices all healthcare services and medical treatments related to Clinical. The NPI Number for Howard C Blank is 1114072410. The last update date is 2007-07-09.

Howard C Blank's current location address is 255 Main St, Fitchburg, Massachusetts. You can contact this provider via phone number 9783434695. The mailing address for Howard C Blank is 255 Main St, Fitchburg, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Howard C Blank
Address 255 Main St, Fitchburg, Massachusetts
Phone Number 9783434695
Fax Number
Sole Proprietor Y
Credentials L.I.C.S.W.

NPI Number Detail

NPI Number 1114072410
Provider Enumeration Date 2007-01-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 255 Main St
City Fitchburg
State Massachusetts (MA)
Post Code 14204331
Phone Number 9783434695
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1022117
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
1041CO700X MA --
1041CO700X MA CLINICAL

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FAQs about Howard C Blank

What is the unique 10-digit identifier code issued to Howard C Blank by the Centers for Medicare & Medicaid Services?

The Howard C Blank has been assigned the NPI (National Provider Identifier) 1114072410 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Howard C Blank's facilities are situated?

The facilities of Howard C Blank are physically located at the following address: 255 Main St, Fitchburg, MA, 14204331.

What is the Howard C Blank's area of specialization and corresponding taxonomy classification?

The Howard C Blank's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1114072410 to Howard C Blank?

The Howard C Blank received its 1114072410 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the information pertaining to Howard C Blank most recently updated or revised?

The details related to Howard C Blank, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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