Michael Stockbridge in Woburn - Clinical
Michael Stockbridge - NPI 1801090758
Michael Stockbridge is a Clinical in Woburn, Massachusetts. Michael Stockbridge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Stockbridge is 1801090758. The last update date is 2012-06-22.
Michael Stockbridge's current location address is 12 Alfred St, Woburn, Massachusetts. You can contact this provider via phone number 7816460500. The mailing address for Michael Stockbridge is 12 Alfred St, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Stockbridge |
|---|---|
| Address | 12 Alfred St, Woburn, Massachusetts |
| Phone Number | 7816460500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1801090758 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2012-06-22 |
Provider Mailing Address Detail
| Address | 12 Alfred St |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18011972 |
| Phone Number | 7816460500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 112046 |
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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 Michael Stockbridge's unique identification number?
The Michael Stockbridge has been assigned the NPI (National Provider Identifier) Number 1801090758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Michael Stockbridge?
The Michael Stockbridge is physically situated at 12 Alfred St, in the city of Woburn, state of MA, with the postal code 18011972.
What is the Michael Stockbridge's specialty and taxonomy code?
The Michael Stockbridge's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801090758 to Michael Stockbridge?
The Centers for Medicare & Medicaid Services originally issued the 1801090758 to Michael Stockbridge on 2007-06-13.
When was the information related to Michael Stockbridge most recently updated or refreshed?
The details pertaining to the Michael Stockbridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-22.