Candy Harris is a Clinical in Worcester, Massachusetts. Candy Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Candy Harris is 1669573556. The last update date is 2007-07-08.
Candy Harris's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083343562. The mailing address for Candy Harris is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candy Harris |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083343562 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669573556 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083343562 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1026996 |
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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 Candy Harris by the Centers for Medicare & Medicaid Services?
The Candy Harris has been issued the NPI (National Provider Identifier) 1669573556. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Candy Harris?
The Candy Harris is situated at 55 Lake Ave N, in the city of Worcester, state of MA, with the zip code 16550002.
What is Candy Harris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Candy Harris's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Candy Harris receive its 1669573556 assignment from the Centers for Medicare & Medicaid Services?
The Candy Harris was assigned its 1669573556 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Candy Harris most recently updated or revised?
The details related to Candy Harris, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.