Carol Jane Van Landingham in Haverhill - Clinical

Carol Jane Van Landingham - NPI 1902022627

Carol Jane Van Landingham is a Clinical in Haverhill, Massachusetts. Carol Jane Van Landingham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Jane Van Landingham is 1902022627. The last update date is 2007-07-08.

Carol Jane Van Landingham's current location address is 60 Merrimack St, Haverhill, Massachusetts. You can contact this provider via phone number 9783731126 and fax number 9783736363. The mailing address for Carol Jane Van Landingham is 60 Merrimack St, Haverhill, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Jane Van Landingham
Address 60 Merrimack St, Haverhill, Massachusetts
Phone Number 9783731126
Fax Number 9783736363
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1902022627
Provider Enumeration Date 2007-04-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 Merrimack St
City Haverhill
State Massachusetts (MA)
Post Code 18306207
Phone Number 9783731126
Fax Number 9783736363

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 107465
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
1312294 MA --

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FAQs about Carol Jane Van Landingham

What is the unique identifier code issued to Carol Jane Van Landingham by the Centers for Medicare & Medicaid Services (CMS)?

The Carol Jane Van Landingham has been assigned the NPI (National Provider Identifier) 1902022627. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Carol Jane Van Landingham is physically located?

The Carol Jane Van Landingham is physically situated at the following address: 60 Merrimack St, Haverhill, MA, 18306207.

What is Carol Jane Van Landingham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carol Jane Van Landingham's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Carol Jane Van Landingham receive its 1902022627 assignment from the Centers for Medicare & Medicaid Services?

The Carol Jane Van Landingham was assigned its 1902022627 by the Centers for Medicare & Medicaid Services on 2007-04-18.

As of what date was the information regarding Carol Jane Van Landingham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carol Jane Van Landingham, 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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