Audra J Kinner is a Clinical in Pittsfield, Massachusetts. Audra J Kinner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Audra J Kinner is 1740333962. The last update date is 2007-07-09.
Audra J Kinner's current location address is 232 First Street, Pittsfield, Massachusetts. You can contact this provider via phone number 4134993445. The mailing address for Audra J Kinner is 232 First Street, Pittsfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Audra J Kinner |
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Address | 232 First Street, Pittsfield, Massachusetts |
Phone Number | 4134993445 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSW LICSWM |
NPI Number Detail
NPI Number | 1740333962 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 232 First Street |
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City | Pittsfield |
State | Massachusetts (MA) |
Post Code | 1201 |
Phone Number | 4134993445 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 102054 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1851845 | MA | -- | |
P05710 | CT | BCBS ANTHEM BC | |
P05710 | MA | BCBS |
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What is the unique identifier code issued to Audra J Kinner by the Centers for Medicare & Medicaid Services (CMS)?
The Audra J Kinner has been assigned the NPI (National Provider Identifier) 1740333962. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Audra J Kinner located?
The Audra J Kinner is located at 232 First Street, Pittsfield, MA 1201.
What is the Audra J Kinner's specialty and taxonomy code?
The Audra J Kinner's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740333962 to Audra J Kinner?
The Centers for Medicare & Medicaid Services originally issued the 1740333962 to Audra J Kinner on 2007-01-19.
When was the information related to Audra J Kinner most recently updated or refreshed?
The details pertaining to the Audra J Kinner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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