Deirdre Fay is a Clinical in Watertown, Massachusetts. Deirdre Fay practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deirdre Fay is 1497813299. The last update date is 2007-07-08.
Deirdre Fay's current location address is 23 Main Street, Watertown, Massachusetts. You can contact this provider via phone number 6179231930. The mailing address for Deirdre Fay is 23 Main Street, Watertown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Fay |
|---|---|
| Address | 23 Main Street, Watertown, Massachusetts |
| Phone Number | 6179231930 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1497813299 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23 Main Street |
|---|---|
| City | Watertown |
| State | Massachusetts (MA) |
| Post Code | 2472 |
| Phone Number | 6179231930 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1030818 |
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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 |
|---|---|---|---|
| 406008 | MA | TUFTS HEALTH PLAN |
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What is the unique 10-digit identification code issued to Deirdre Fay by the Centers for Medicare & Medicaid Services?
The Deirdre Fay has been assigned the NPI (National Provider Identifier) 1497813299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Deirdre Fay is located?
The Deirdre Fay is situated at the following address: 23 Main Street, Watertown, MA, 2472.
What is the Deirdre Fay's area of specialization and corresponding taxonomy classification?
The Deirdre Fay's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Deirdre Fay receive its 1497813299?
The Deirdre Fay was issued its 1497813299 on 2006-12-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Deirdre Fay most recently updated or revised?
The information pertaining to Deirdre Fay, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.