Deborah Herzog is a Clinical in Medford, Massachusetts. Deborah Herzog practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah Herzog is 1013093392. The last update date is 2008-08-12.
Deborah Herzog's current location address is Po Box 311, Medford, Massachusetts. You can contact this provider via phone number 7813951560 and fax number 7813915564. The mailing address for Deborah Herzog is Po Box 311, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Herzog |
|---|---|
| Address | Po Box 311, Medford, Massachusetts |
| Phone Number | 7813951560 |
| Fax Number | 7813915564 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1013093392 |
|---|---|
| Provider Enumeration Date | 2006-10-28 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | Po Box 311 |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21550004 |
| Phone Number | 7813951560 |
| Fax Number | 7813915564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 104572 |
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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 |
|---|---|---|---|
| 1859056 | MA | -- |
Post Comment/ Review Below
What is the Deborah Herzog's unique identification number?
The Deborah Herzog has been assigned the NPI (National Provider Identifier) Number 1013093392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Deborah Herzog is located?
The Deborah Herzog is situated at the following address: Po Box 311, Medford, MA, 21550004.
What is Deborah Herzog's specialized field of practice, and what is the corresponding taxonomy classification code?
The Deborah Herzog's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did the Deborah Herzog receive its 1013093392?
The Deborah Herzog was issued its 1013093392 on 2006-10-28, which is the date when the organization was assigned this unique identifier.
When was the Deborah Herzog's information last updated?
The Deborah Herzog's information was last updated on 2008-08-12.
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