Terrel L. Fenn is a Clinical in Concord, Massachusetts. Terrel L. Fenn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terrel L. Fenn is 1578516266. The last update date is 2020-11-21.
Terrel L. Fenn's current location address is 97 Lowell Rd Ste A-11, Concord, Massachusetts. You can contact this provider via phone number 9789688044 and fax number 9784471315. The mailing address for Terrel L. Fenn is 97 Lowell Rd Ste A-11, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terrel L. Fenn |
|---|---|
| Address | 97 Lowell Rd Ste A-11, Concord, Massachusetts |
| Phone Number | 9789688044 |
| Fax Number | 9784471315 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1578516266 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2020-11-21 |
Provider Mailing Address Detail
| Address | 97 Lowell Rd Ste A-11 |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 174217330 |
| Phone Number | 9789688044 |
| Fax Number | 9784471315 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1026228 |
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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 |
|---|---|---|---|
| 691378 | MA | TUFTS HEALTH PLAN | |
| P08245 | MA | BLUE CROSS |
Post Comment/ Review Below
What is the Terrel L. Fenn's unique identification number?
The Terrel L. Fenn has been assigned the NPI (National Provider Identifier) Number 1578516266 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Terrel L. Fenn is geographically located?
The Terrel L. Fenn is physically situated at the following location: 97 Lowell Rd Ste A-11, Concord, MA, 174217330.
What is Terrel L. Fenn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terrel L. Fenn's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1578516266 assigned to Terrel L. Fenn?
The Terrel L. Fenn was issued its 1578516266 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Terrel L. Fenn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Terrel L. Fenn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-21.
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