Robert Samuel Harris in Longmeadow - Clinical
Robert Samuel Harris - NPI 1962561803
Robert Samuel Harris is a Clinical in Longmeadow, Massachusetts. Robert Samuel Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Samuel Harris is 1962561803. The last update date is 2007-07-08.
Robert Samuel Harris's current location address is 175 Dwight Rd, Longmeadow, Massachusetts. You can contact this provider via phone number 4135679993 and fax number 4135679993. The mailing address for Robert Samuel Harris is 175 Dwight Rd, Longmeadow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Samuel Harris |
|---|---|
| Address | 175 Dwight Rd, Longmeadow, Massachusetts |
| Phone Number | 4135679993 |
| Fax Number | 4135679993 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1962561803 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Dwight Rd |
|---|---|
| City | Longmeadow |
| State | Massachusetts (MA) |
| Post Code | 11061761 |
| Phone Number | 4135679993 |
| Fax Number | 4135679993 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105699 |
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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 |
|---|---|---|---|
| P03971 | MA | BC BS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Samuel Harris by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Samuel Harris has been assigned the NPI (National Provider Identifier) 1962561803. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Robert Samuel Harris?
The Robert Samuel Harris is situated at 175 Dwight Rd, in the city of Longmeadow, state of MA, with the zip code 11061761.
What is Robert Samuel Harris's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Samuel Harris is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Robert Samuel Harris's 1962561803 issued?
The Robert Samuel Harris's 1962561803 was issued on 2006-12-06.
When was the Robert Samuel Harris's information last updated?
The Robert Samuel Harris's information was last updated on 2007-07-08.
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