The Counseling Center Of Child Development, In in Medford - Clinical
The Counseling Center Of Child Development, In - NPI 1518164508
The Counseling Center Of Child Development, In is a Clinical in Medford, Massachusetts. The Counseling Center Of Child Development, In practices all healthcare services and medical treatments related to Clinical. The NPI Number for The Counseling Center Of Child Development, In is 1518164508. The last update date is 2012-06-01.
The Counseling Center Of Child Development, In's current location address is 10 Cabot Road, Medford, Massachusetts. You can contact this provider via phone number 7813935150 and fax number 7813935169. The mailing address for The Counseling Center Of Child Development, In is 10 Cabot Road, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Counseling Center Of Child Development, In |
|---|---|
| Address | 10 Cabot Road, Medford, Massachusetts |
| Phone Number | 7813935150 |
| Fax Number | 7813935169 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Fitzgerald B. Ann |
| Credentials | LICSW |
| Telephone Number | 7813935150 |
NPI Number Detail
| NPI Number | 1518164508 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 10 Cabot Road |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 2155 |
| Phone Number | 7813935150 |
| Fax Number | 7813935169 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 1518164508 | MA | MBHP | |
| 1518164508 | MA | FALLON COMMUNITY HEALTH PLAN | |
| 963959-01 | MA | NETWORK | |
| 288472 | MA | TUFTS HEALTH PLAN | |
| 1031830 | MA | BEACON HEALTH STRATEGIES (NHP) | |
| 1518164508 | MA | BEACON (BMC) | |
| 110081507B | MA | -- | |
| 15666 | MA | MEDICARE | |
| 1518164508 | MA | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to The Counseling Center Of Child Development, In by the Centers for Medicare & Medicaid Services?
The The Counseling Center Of Child Development, In has been assigned the NPI (National Provider Identifier) 1518164508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where The Counseling Center Of Child Development, In is located?
The The Counseling Center Of Child Development, In is situated at the following address: 10 Cabot Road, Medford, MA, 2155.
What is the The Counseling Center Of Child Development, In's area of specialization and corresponding taxonomy classification?
The The Counseling Center Of Child Development, In'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 Centers for Medicare & Medicaid Services originally issue the 1518164508 to The Counseling Center Of Child Development, In?
The Centers for Medicare & Medicaid Services originally issued the 1518164508 to The Counseling Center Of Child Development, In on 2007-07-02.
As of what date were the details related to The Counseling Center Of Child Development, In most recently updated or revised?
The information pertaining to The Counseling Center Of Child Development, In, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-01.