Deborah Eline Penner Smith in Basking Ridge - Clinical
Deborah Eline Penner Smith - NPI 1063672186
Deborah Eline Penner Smith is a Clinical in Basking Ridge, New Jersey. Deborah Eline Penner Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deborah Eline Penner Smith is 1063672186. The last update date is 2019-06-19.
Deborah Eline Penner Smith's current location address is 54 Dickinson Rd, Basking Ridge, New Jersey. You can contact this provider via phone number 9738852075. The mailing address for Deborah Eline Penner Smith is 54 Dickinson Rd, Basking Ridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Eline Penner Smith |
|---|---|
| Address | 54 Dickinson Rd, Basking Ridge, New Jersey |
| Phone Number | 9738852075 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1063672186 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2019-06-19 |
Provider Mailing Address Detail
| Address | 54 Dickinson Rd |
|---|---|
| City | Basking Ridge |
| State | New Jersey (NJ) |
| Post Code | 79204907 |
| Phone Number | 9738852075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00274400 |
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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 provider identifier assigned to Deborah Eline Penner Smith?
The Deborah Eline Penner Smith has been issued the NPI (National Provider Identifier) 1063672186 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Deborah Eline Penner Smith?
The Deborah Eline Penner Smith is physically situated at 54 Dickinson Rd, in the city of Basking Ridge, state of NJ, with the postal code 79204907.
What is Deborah Eline Penner Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deborah Eline Penner Smith is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063672186 to Deborah Eline Penner Smith?
The Deborah Eline Penner Smith received its 1063672186 assignment from the Centers for Medicare & Medicaid Services on 2008-06-12.
As of what date were the Deborah Eline Penner Smith's details last updated?
The information pertaining to the Deborah Eline Penner Smith, including its address, specialty, and other details, was most recently updated on 2019-06-19.
NPI Number: 1144225426
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