John Mimoso is a Clinical in Rockland, Massachusetts. John Mimoso practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Mimoso is 1295872224. The last update date is 2007-07-08.
John Mimoso's current location address is 100 Ledgewood Pl, Rockland, Massachusetts. You can contact this provider via phone number 7818716550 and fax number 7818715973. The mailing address for John Mimoso is 100 Ledgewood Pl, Rockland, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mimoso |
|---|---|
| Address | 100 Ledgewood Pl, Rockland, Massachusetts |
| Phone Number | 7818716550 |
| Fax Number | 7818715973 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1295872224 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Ledgewood Pl |
|---|---|
| City | Rockland |
| State | Massachusetts (MA) |
| Post Code | 237010750 |
| Phone Number | 7818716550 |
| Fax Number | 7818715973 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1024994 |
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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 provider identifier assigned to John Mimoso?
The John Mimoso has been issued the NPI (National Provider Identifier) 1295872224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where John Mimoso is physically located?
The John Mimoso is physically situated at the following address: 100 Ledgewood Pl, Rockland, MA, 237010750.
What is John Mimoso's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Mimoso is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295872224 to John Mimoso?
The John Mimoso received its 1295872224 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to John Mimoso most recently updated or revised?
The details related to John Mimoso, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.