Elaine Judith Roeder in Concord - Clinical
Elaine Judith Roeder - NPI 1720112386
Elaine Judith Roeder is a Clinical in Concord, Massachusetts. Elaine Judith Roeder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elaine Judith Roeder is 1720112386. The last update date is 2007-07-08.
Elaine Judith Roeder's current location address is 111 Old Road To 9 Acre Cor, Concord, Massachusetts. You can contact this provider via phone number 9783691113 and fax number 9783690908. The mailing address for Elaine Judith Roeder is 111 Old Road To 9 Acre Cor, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Judith Roeder |
|---|---|
| Address | 111 Old Road To 9 Acre Cor, Concord, Massachusetts |
| Phone Number | 9783691113 |
| Fax Number | 9783690908 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1720112386 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 Old Road To 9 Acre Cor |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 17424141 |
| Phone Number | 9783691113 |
| Fax Number | 9783690908 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111792 |
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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 |
|---|---|---|---|
| P10320 | MA | BCBS | |
| 279202 | MA | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elaine Judith Roeder by the Centers for Medicare & Medicaid Services?
The Elaine Judith Roeder has been issued the NPI (National Provider Identifier) 1720112386 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Elaine Judith Roeder?
The Elaine Judith Roeder is situated at 111 Old Road To 9 Acre Cor, in the city of Concord, state of MA, with the zip code 17424141.
What is Elaine Judith Roeder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elaine Judith Roeder is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Elaine Judith Roeder receive its 1720112386?
The Elaine Judith Roeder was issued its 1720112386 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
When was the information related to Elaine Judith Roeder most recently updated or refreshed?
The details pertaining to the Elaine Judith Roeder, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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