Bruce R Stoddard in Prides Crossing - Clinical
Bruce R Stoddard - NPI 1194935791
Bruce R Stoddard is a Clinical in Prides Crossing, Massachusetts. Bruce R Stoddard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce R Stoddard is 1194935791. The last update date is 2007-07-08.
Bruce R Stoddard's current location address is 412 Hale Street, Prides Crossing, Massachusetts. You can contact this provider via phone number 9785264759. The mailing address for Bruce R Stoddard is 412 Hale Street, Prides Crossing, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce R Stoddard |
|---|---|
| Address | 412 Hale Street, Prides Crossing, Massachusetts |
| Phone Number | 9785264759 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1194935791 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 412 Hale Street |
|---|---|
| City | Prides Crossing |
| State | Massachusetts (MA) |
| Post Code | 1965 |
| Phone Number | 9785264759 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 110759 |
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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 identification code assigned to Bruce R Stoddard by the Centers for Medicare & Medicaid Services?
The Bruce R Stoddard has been issued the NPI (National Provider Identifier) 1194935791, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruce R Stoddard located?
The Bruce R Stoddard is located at 412 Hale Street, Prides Crossing, MA 1965.
What is Bruce R Stoddard's area of expertise and its corresponding taxonomy classification?
The Bruce R Stoddard's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Bruce R Stoddard receive its 1194935791 assignment from the Centers for Medicare & Medicaid Services?
The Bruce R Stoddard was assigned its 1194935791 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce R Stoddard most recently updated or revised?
The details related to Bruce R Stoddard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.