Martiele Elliott in Gt Barrington - Clinical
Martiele Elliott - NPI 1184665192
Martiele Elliott is a Clinical in Gt Barrington, Massachusetts. Martiele Elliott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martiele Elliott is 1184665192. The last update date is 2007-07-08.
Martiele Elliott's current location address is Po Box 154, Gt Barrington, Massachusetts. You can contact this provider via phone number 4137170193. The mailing address for Martiele Elliott is Po Box 154, Gt Barrington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martiele Elliott |
|---|---|
| Address | Po Box 154, Gt Barrington, Massachusetts |
| Phone Number | 4137170193 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1184665192 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 154 |
|---|---|
| City | Gt Barrington |
| State | Massachusetts (MA) |
| Post Code | 1230 |
| Phone Number | 4137170193 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111075 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1302467 | MA | -- |
Post Comment/ Review Below
What is the Martiele Elliott's 1184665192?
The Martiele Elliott's NPI (National Provider Identifier) Number is 1184665192. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Martiele Elliott is physically located?
The Martiele Elliott is physically situated at the following address: Po Box 154, Gt Barrington, MA, 1230.
What is Martiele Elliott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martiele Elliott's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Martiele Elliott receive the assignment of its 1184665192 from the Centers for Medicare & Medicaid Services?
The Martiele Elliott was issued its 1184665192 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the details related to Martiele Elliott most recently updated or revised?
The information pertaining to Martiele Elliott, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.