Vinita B. Russell is a Clinical in Quincy, Massachusetts. Vinita B. Russell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vinita B. Russell is 1619024569. The last update date is 2007-07-08.
Vinita B. Russell's current location address is 500 Victory Rd, Quincy, Massachusetts. You can contact this provider via phone number 6177741040 and fax number 6178470915. The mailing address for Vinita B. Russell is 500 Victory Rd, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vinita B. Russell |
|---|---|
| Address | 500 Victory Rd, Quincy, Massachusetts |
| Phone Number | 6177741040 |
| Fax Number | 6178470915 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619024569 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Victory Rd |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 21713139 |
| Phone Number | 6177741040 |
| Fax Number | 6178470915 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 212350 |
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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 Vinita B. Russell by the Centers for Medicare & Medicaid Services?
The Vinita B. Russell has been issued the NPI (National Provider Identifier) 1619024569 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Vinita B. Russell's facilities are situated?
The facilities of Vinita B. Russell are physically located at the following address: 500 Victory Rd, Quincy, MA, 21713139.
What is Vinita B. Russell's area of expertise and its corresponding taxonomy classification?
The Vinita B. Russell's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Vinita B. Russell receive its 1619024569 assignment?
The Vinita B. Russell was assigned its 1619024569 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Vinita B. Russell last refreshed?
The information related to the Vinita B. Russell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.