Suelen D. Yancor is a Clinical in Somerville, Massachusetts. Suelen D. Yancor practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suelen D. Yancor is 1063621811. The last update date is 2007-07-09.
Suelen D. Yancor's current location address is 21 Avon St # 1, Somerville, Massachusetts. You can contact this provider via phone number 6174274470 and fax number 6174429419. The mailing address for Suelen D. Yancor is 21 Avon St # 1, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suelen D. Yancor |
|---|---|
| Address | 21 Avon St # 1, Somerville, Massachusetts |
| Phone Number | 6174274470 |
| Fax Number | 6174429419 |
| Sole Proprietor | N |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1063621811 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 21 Avon St # 1 |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21431601 |
| Phone Number | 6174274470 |
| Fax Number | 6174429419 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1309587 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Suelen D. Yancor by the Centers for Medicare & Medicaid Services?
The Suelen D. Yancor has been assigned the NPI (National Provider Identifier) 1063621811 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Suelen D. Yancor is located?
The Suelen D. Yancor is situated at the following address: 21 Avon St # 1, Somerville, MA, 21431601.
What is Suelen D. Yancor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suelen D. Yancor is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Suelen D. Yancor receive its 1063621811 assignment from the Centers for Medicare & Medicaid Services?
The Suelen D. Yancor was assigned its 1063621811 on 2007-05-21, 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 Suelen D. Yancor most recently updated or refreshed?
The details pertaining to the Suelen D. Yancor, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.