Christine Fallstrom in Worcester - Clinical

Christine Fallstrom - NPI 1780738146

Christine Fallstrom is a Clinical in Worcester, Massachusetts. Christine Fallstrom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christine Fallstrom is 1780738146. The last update date is 2007-07-09.

Christine Fallstrom's current location address is 78 Rich St, Worcester, Massachusetts. You can contact this provider via phone number 5087561626 and fax number 5087562080. The mailing address for Christine Fallstrom is 78 Rich St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Christine Fallstrom
Address 78 Rich St, Worcester, Massachusetts
Phone Number 5087561626
Fax Number 5087562080
Sole Proprietor Y
Credentials L.I.C.S.W.

NPI Number Detail

NPI Number 1780738146
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 78 Rich St
City Worcester
State Massachusetts (MA)
Post Code 16021263
Phone Number 5087561626
Fax Number 5087562080

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1021965
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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FAQs about Christine Fallstrom

What is the unique identification code assigned to Christine Fallstrom by the Centers for Medicare & Medicaid Services?

The Christine Fallstrom has been issued the NPI (National Provider Identifier) 1780738146. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Christine Fallstrom is located?

The Christine Fallstrom is situated at the following address: 78 Rich St, Worcester, MA, 16021263.

What is Christine Fallstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christine Fallstrom's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780738146 to Christine Fallstrom?

The Christine Fallstrom received its 1780738146 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

When was the information regarding Christine Fallstrom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Christine Fallstrom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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