Robert D. Sullaway in Jamaica Plain - Clinical
Robert D. Sullaway - NPI 1184768731
Robert D. Sullaway is a Clinical in Jamaica Plain, Massachusetts. Robert D. Sullaway practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert D. Sullaway is 1184768731. The last update date is 2007-07-08.
Robert D. Sullaway's current location address is 170 Morton St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179713679. The mailing address for Robert D. Sullaway is 170 Morton St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert D. Sullaway |
|---|---|
| Address | 170 Morton St, Jamaica Plain, Massachusetts |
| Phone Number | 6179713679 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1184768731 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 170 Morton St |
|---|---|
| City | Jamaica Plain |
| State | Massachusetts (MA) |
| Post Code | 21303735 |
| Phone Number | 6179713679 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106995 |
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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 Robert D. Sullaway by the Centers for Medicare & Medicaid Services?
The Robert D. Sullaway has been issued the NPI (National Provider Identifier) 1184768731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert D. Sullaway is physically located?
The Robert D. Sullaway is physically situated at the following address: 170 Morton St, Jamaica Plain, MA, 21303735.
What is Robert D. Sullaway's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert D. Sullaway's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Robert D. Sullaway receive its 1184768731 assignment?
The Robert D. Sullaway was assigned its 1184768731 on 2007-02-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Robert D. Sullaway most recently updated or revised?
The information pertaining to Robert D. Sullaway, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.