Penelope Brown in Waban - Clinical

Penelope Brown - NPI 1760558761

Penelope Brown is a Clinical in Waban, Massachusetts. Penelope Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penelope Brown is 1760558761. The last update date is 2007-07-08.

Penelope Brown's current location address is 51 Upland Road, Waban, Massachusetts. You can contact this provider via phone number 5084735888. The mailing address for Penelope Brown is 51 Upland Road, Waban, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Penelope Brown
Address 51 Upland Road, Waban, Massachusetts
Phone Number 5084735888
Fax Number
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1760558761
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 51 Upland Road
City Waban
State Massachusetts (MA)
Post Code 24681630
Phone Number 5084735888
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 104301
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
347316 MAGELLAN BEHAV HEALTH
BRPO2122 MA BLUE CROSS OF MA

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FAQs about Penelope Brown

What is the unique provider identifier assigned to Penelope Brown?

The Penelope Brown has been issued the NPI (National Provider Identifier) 1760558761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Penelope Brown is located?

The Penelope Brown is situated at the following address: 51 Upland Road, Waban, MA, 24681630.

What is Penelope Brown'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 Penelope Brown is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760558761 to Penelope Brown?

The Centers for Medicare & Medicaid Services originally issued the 1760558761 to Penelope Brown on 2006-11-28.

As of what date were the Penelope Brown's details last updated?

The information pertaining to the Penelope Brown, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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