Ira David Adelman is a Clinical in Waban, Massachusetts. Ira David Adelman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ira David Adelman is 1205858552. The last update date is 2007-07-08.
Ira David Adelman's current location address is 100 Pine Ridge Rd, Waban, Massachusetts. You can contact this provider via phone number 7816623223 and fax number 6175277557. The mailing address for Ira David Adelman is 100 Pine Ridge Rd, Waban, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira David Adelman |
|---|---|
| Address | 100 Pine Ridge Rd, Waban, Massachusetts |
| Phone Number | 7816623223 |
| Fax Number | 6175277557 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1205858552 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Pine Ridge Rd |
|---|---|
| City | Waban |
| State | Massachusetts (MA) |
| Post Code | 24681617 |
| Phone Number | 7816623223 |
| Fax Number | 6175277557 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106546 |
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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 |
|---|---|---|---|
| P04196 | MA | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Ira David Adelman by the Centers for Medicare & Medicaid Services (CMS)?
The Ira David Adelman has been assigned the NPI (National Provider Identifier) 1205858552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Ira David Adelman is geographically located?
The Ira David Adelman is physically situated at the following location: 100 Pine Ridge Rd, Waban, MA, 24681617.
What is Ira David Adelman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ira David Adelman'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 1205858552 to Ira David Adelman?
The Centers for Medicare & Medicaid Services originally issued the 1205858552 to Ira David Adelman on 2006-07-24.
As of what date was the information pertaining to Ira David Adelman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ira David Adelman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.