Diana Kwiecinski in Medford - Clinical

Diana Kwiecinski - NPI 1194939090

Diana Kwiecinski is a Clinical in Medford, New Jersey. Diana Kwiecinski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diana Kwiecinski is 1194939090. The last update date is 2007-07-08.

Diana Kwiecinski's current location address is Po Box 1074, Medford, New Jersey. You can contact this provider via phone number 9088814368. The mailing address for Diana Kwiecinski is Po Box 1074, Medford, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Kwiecinski
Address Po Box 1074, Medford, New Jersey
Phone Number 9088814368
Fax Number
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1194939090
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1074
City Medford
State New Jersey (NJ)
Post Code 80556074
Phone Number 9088814368
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 44SC01304000
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44SC01304000 NJ LIC CLINICAL SOCIAL WORKE

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FAQs about Diana Kwiecinski

What is the unique 10-digit identifier code issued to Diana Kwiecinski by the Centers for Medicare & Medicaid Services?

The Diana Kwiecinski has been assigned the NPI (National Provider Identifier) 1194939090 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Diana Kwiecinski's facilities are situated?

The facilities of Diana Kwiecinski are physically located at the following address: Po Box 1074, Medford, NJ, 80556074.

What is Diana Kwiecinski's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Diana Kwiecinski is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194939090 to Diana Kwiecinski?

The Centers for Medicare & Medicaid Services originally issued the 1194939090 to Diana Kwiecinski on 2007-05-09.

As of what date was the information regarding Diana Kwiecinski, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Diana Kwiecinski, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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