Edward Liston Kraft in Revere - Clinical
Edward Liston Kraft - NPI 1447324801
Edward Liston Kraft is a Clinical in Revere, Massachusetts. Edward Liston Kraft practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Liston Kraft is 1447324801. The last update date is 2007-07-08.
Edward Liston Kraft's current location address is 50 Delano Avenue, Revere, Massachusetts. You can contact this provider via phone number 6179837928 and fax number 6179837231. The mailing address for Edward Liston Kraft is 50 Delano Avenue, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Liston Kraft |
|---|---|
| Address | 50 Delano Avenue, Revere, Massachusetts |
| Phone Number | 6179837928 |
| Fax Number | 6179837231 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1447324801 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Delano Avenue |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 2151 |
| Phone Number | 6179837928 |
| Fax Number | 6179837231 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LICSW104389 |
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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 Edward Liston Kraft?
The Edward Liston Kraft has been issued the NPI (National Provider Identifier) 1447324801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Edward Liston Kraft?
The Edward Liston Kraft is situated at 50 Delano Avenue, in the city of Revere, state of MA, with the zip code 2151.
What is the area of specialization for Edward Liston Kraft, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edward Liston Kraft is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1447324801 assigned to Edward Liston Kraft?
The Edward Liston Kraft was issued its 1447324801 on 2006-11-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Edward Liston Kraft most recently updated or revised?
The information pertaining to Edward Liston Kraft, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.