Revan Fisher Miles in Brookline - Clinical
Revan Fisher Miles - NPI 1699875708
Revan Fisher Miles is a Clinical in Brookline, Massachusetts. Revan Fisher Miles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Revan Fisher Miles is 1699875708. The last update date is 2007-07-08.
Revan Fisher Miles's current location address is 1180 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6717344600. The mailing address for Revan Fisher Miles is 1180 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Revan Fisher Miles |
|---|---|
| Address | 1180 Beacon St, Brookline, Massachusetts |
| Phone Number | 6717344600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699875708 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1180 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24463885 |
| Phone Number | 6717344600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 101464 |
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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 identifier code issued to Revan Fisher Miles by the Centers for Medicare & Medicaid Services?
The Revan Fisher Miles has been assigned the NPI (National Provider Identifier) 1699875708. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Revan Fisher Miles?
The Revan Fisher Miles is situated at 1180 Beacon St, in the city of Brookline, state of MA, with the zip code 24463885.
What is Revan Fisher Miles's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Revan Fisher Miles is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Revan Fisher Miles receive its 1699875708 assignment from the Centers for Medicare & Medicaid Services?
The Revan Fisher Miles was assigned its 1699875708 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Revan Fisher Miles most recently updated or refreshed?
The details pertaining to the Revan Fisher Miles, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.