Esmeralda Shaska-Choma in Detroit - Clinical
Esmeralda Shaska-Choma - NPI 1033210190
Esmeralda Shaska-Choma is a Clinical in Detroit, Michigan. Esmeralda Shaska-Choma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Esmeralda Shaska-Choma is 1033210190. The last update date is 2017-12-29.
Esmeralda Shaska-Choma's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135764975 and fax number 3135763703. The mailing address for Esmeralda Shaska-Choma is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Esmeralda Shaska-Choma |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135764975 |
| Fax Number | 3135763703 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1033210190 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2017-12-29 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135764975 |
| Fax Number | 3135763703 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 1295240257 | MI | TYPE 2 NPI |
Post Comment/ Review Below
What is the Esmeralda Shaska-Choma's 1033210190?
The Esmeralda Shaska-Choma's NPI (National Provider Identifier) Number is 1033210190. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Esmeralda Shaska-Choma is geographically located?
The Esmeralda Shaska-Choma is physically situated at the following location: 4646 John R St, Detroit, MI, 482011916.
What is the Esmeralda Shaska-Choma's specialty and taxonomy code?
The Esmeralda Shaska-Choma's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Esmeralda Shaska-Choma receive its 1033210190 assignment from the Centers for Medicare & Medicaid Services?
The Esmeralda Shaska-Choma was assigned its 1033210190 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Esmeralda Shaska-Choma last refreshed?
The information related to the Esmeralda Shaska-Choma, including its address, specialty, and other relevant details, was last updated on 2017-12-29.