Mona Eden Tye is a Clinical in Lowell, Massachusetts. Mona Eden Tye practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mona Eden Tye is 1689712663. The last update date is 2007-07-08.
Mona Eden Tye's current location address is 21 Arcadia Ave, Lowell, Massachusetts. You can contact this provider via phone number 9784543718. The mailing address for Mona Eden Tye is 21 Arcadia Ave, Lowell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mona Eden Tye |
|---|---|
| Address | 21 Arcadia Ave, Lowell, Massachusetts |
| Phone Number | 9784543718 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1689712663 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21 Arcadia Ave |
|---|---|
| City | Lowell |
| State | Massachusetts (MA) |
| Post Code | 18511607 |
| Phone Number | 9784543718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106877 |
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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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What is the unique 10-digit identifier code assigned to Mona Eden Tye by the Centers for Medicare & Medicaid Services?
The Mona Eden Tye has been issued the NPI (National Provider Identifier) 1689712663 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mona Eden Tye?
The Mona Eden Tye is physically situated at 21 Arcadia Ave, in the city of Lowell, state of MA, with the postal code 18511607.
What is the Mona Eden Tye's area of specialization and corresponding taxonomy classification?
The Mona Eden Tye'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 Mona Eden Tye receive its 1689712663 assignment from the Centers for Medicare & Medicaid Services?
The Mona Eden Tye was assigned its 1689712663 by the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information pertaining to Mona Eden Tye most recently updated or revised?
The details related to Mona Eden Tye, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1417950320
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