Amir Moghadam is a Clinical in Waltham, Massachusetts. Amir Moghadam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amir Moghadam is 1619098837. The last update date is 2010-12-21.
Amir Moghadam's current location address is 74 Elson Rd, Waltham, Massachusetts. You can contact this provider via phone number 7812091464. The mailing address for Amir Moghadam is 74 Elson Rd, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amir Moghadam |
|---|---|
| Address | 74 Elson Rd, Waltham, Massachusetts |
| Phone Number | 7812091464 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1619098837 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2010-12-21 |
Provider Mailing Address Detail
| Address | 74 Elson Rd |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24510743 |
| Phone Number | 7812091464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 114565 |
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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 identification code assigned to Amir Moghadam by the Centers for Medicare & Medicaid Services?
The Amir Moghadam has been issued the NPI (National Provider Identifier) 1619098837. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Amir Moghadam's facilities are situated?
The facilities of Amir Moghadam are physically located at the following address: 74 Elson Rd, Waltham, MA, 24510743.
What is Amir Moghadam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amir Moghadam is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619098837 to Amir Moghadam?
The Amir Moghadam received its 1619098837 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the Amir Moghadam's details last updated?
The information pertaining to the Amir Moghadam, including its address, specialty, and other details, was most recently updated on 2010-12-21.