Kathleen Marie Elleo in Midland Park - Clinical
Kathleen Marie Elleo - NPI 1295891034
Kathleen Marie Elleo is a Clinical in Midland Park, New Jersey. Kathleen Marie Elleo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Marie Elleo is 1295891034. The last update date is 2023-06-27.
Kathleen Marie Elleo's current location address is 323 Godwin Ave Ste 1, Midland Park, New Jersey. You can contact this provider via phone number 2017042573. The mailing address for Kathleen Marie Elleo is 323 Godwin Ave Ste 1, Midland Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Elleo |
|---|---|
| Address | 323 Godwin Ave Ste 1, Midland Park, New Jersey |
| Phone Number | 2017042573 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295891034 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 323 Godwin Ave Ste 1 |
|---|---|
| City | Midland Park |
| State | New Jersey (NJ) |
| Post Code | 74321534 |
| Phone Number | 2017042573 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05243400 |
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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 Kathleen Marie Elleo's unique identification number?
The Kathleen Marie Elleo has been assigned the NPI (National Provider Identifier) Number 1295891034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kathleen Marie Elleo's physical address?
The Kathleen Marie Elleo is physically located at 323 Godwin Ave Ste 1, in the city of Midland Park, NJ, with the postal code 74321534.
What is Kathleen Marie Elleo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Marie Elleo is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Kathleen Marie Elleo receive the assignment of its 1295891034 from the Centers for Medicare & Medicaid Services?
The Kathleen Marie Elleo was issued its 1295891034 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the Kathleen Marie Elleo's information last updated?
The Kathleen Marie Elleo's information was last updated on 2023-06-27.
NPI Number: 1649248733
Address: 1699 Sw Southworth Ter, Port St Lucie, FL