Wayside Youth & Family Support Network in Malden - Clinical
Wayside Youth & Family Support Network - NPI 1104977131
Wayside Youth & Family Support Network is a Clinical in Malden, Massachusetts. Wayside Youth & Family Support Network practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayside Youth & Family Support Network is 1104977131. The last update date is 2020-08-22.
Wayside Youth & Family Support Network's current location address is 22 Pleasant St, Malden, Massachusetts. You can contact this provider via phone number 7813382640 and fax number 7813382217. The mailing address for Wayside Youth & Family Support Network is 22 Pleasant St, Malden, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wayside Youth & Family Support Network |
|---|---|
| Address | 22 Pleasant St, Malden, Massachusetts |
| Phone Number | 7813382640 |
| Fax Number | 7813382217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Salzman Andrea |
| Credentials | LICSW |
| Telephone Number | 7818910556 |
NPI Number Detail
| NPI Number | 1104977131 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22 Pleasant St |
|---|---|
| City | Malden |
| State | Massachusetts (MA) |
| Post Code | 21485119 |
| Phone Number | 7813382640 |
| Fax Number | 7813382217 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 104386 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wayside Youth & Family Support Network by the Centers for Medicare & Medicaid Services?
The Wayside Youth & Family Support Network has been issued the NPI (National Provider Identifier) 1104977131 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Wayside Youth & Family Support Network's physical address?
The Wayside Youth & Family Support Network is physically located at 22 Pleasant St, in the city of Malden, MA, with the postal code 21485119.
What is the Wayside Youth & Family Support Network's area of specialization and corresponding taxonomy classification?
The Wayside Youth & Family Support Network's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Wayside Youth & Family Support Network receive its 1104977131?
The Wayside Youth & Family Support Network was issued its 1104977131 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Wayside Youth & Family Support Network most recently updated or revised?
The information pertaining to Wayside Youth & Family Support Network, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.