Theresa Rolande Poulin in South Dartmouth - Clinical
Theresa Rolande Poulin - NPI 1912017773
Theresa Rolande Poulin is a Clinical in South Dartmouth, Massachusetts. Theresa Rolande Poulin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa Rolande Poulin is 1912017773. The last update date is 2014-08-25.
Theresa Rolande Poulin's current location address is Po Box 80095, South Dartmouth, Massachusetts. You can contact this provider via phone number 5089902077 and fax number 5089907808. The mailing address for Theresa Rolande Poulin is Po Box 80095, South Dartmouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Rolande Poulin |
|---|---|
| Address | Po Box 80095, South Dartmouth, Massachusetts |
| Phone Number | 5089902077 |
| Fax Number | 5089907808 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1912017773 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2014-08-25 |
Provider Mailing Address Detail
| Address | Po Box 80095 |
|---|---|
| City | South Dartmouth |
| State | Massachusetts (MA) |
| Post Code | 27480095 |
| Phone Number | 5089902077 |
| Fax Number | 5089907808 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1031129 |
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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 |
|---|---|---|---|
| 26929600 | MA | HMO BLUE NEW ENGLAND | |
| 1857983 | MA | -- | |
| P07727 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theresa Rolande Poulin?
The Theresa Rolande Poulin has been issued the NPI (National Provider Identifier) 1912017773 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 Theresa Rolande Poulin?
The Theresa Rolande Poulin is situated at Po Box 80095, in the city of South Dartmouth, state of MA, with the zip code 27480095.
What is Theresa Rolande Poulin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa Rolande Poulin's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912017773 to Theresa Rolande Poulin?
The Centers for Medicare & Medicaid Services originally issued the 1912017773 to Theresa Rolande Poulin on 2006-08-30.
When was the information pertaining to Theresa Rolande Poulin most recently updated or revised?
The details related to Theresa Rolande Poulin, including its address, specialty, and other relevant information, were last updated or revised on 2014-08-25.