Judith Kolligian is a Clinical in Somerville, Massachusetts. Judith Kolligian practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Kolligian is 1174687461. The last update date is 2012-09-26.
Judith Kolligian's current location address is 35a Memorial Rd Apt 12, Somerville, Massachusetts. You can contact this provider via phone number 6176296616 and fax number 6176281922. The mailing address for Judith Kolligian is 35a Memorial Rd Apt 12, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Kolligian |
|---|---|
| Address | 35a Memorial Rd Apt 12, Somerville, Massachusetts |
| Phone Number | 6176296616 |
| Fax Number | 6176281922 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W., |
NPI Number Detail
| NPI Number | 1174687461 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 35a Memorial Rd Apt 12 |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21451706 |
| Phone Number | 6176296616 |
| Fax Number | 6176281922 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 207939 |
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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 Judith Kolligian by the Centers for Medicare & Medicaid Services?
The Judith Kolligian has been issued the NPI (National Provider Identifier) 1174687461 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 Judith Kolligian is physically located?
The Judith Kolligian is physically situated at the following address: 35A Memorial Rd Apt 12, Somerville, MA, 21451706.
What is Judith Kolligian's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Judith Kolligian is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Judith Kolligian receive its 1174687461 assignment from the Centers for Medicare & Medicaid Services?
The Judith Kolligian was assigned its 1174687461 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the Judith Kolligian's information last updated?
The Judith Kolligian's information was last updated on 2012-09-26.
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