Miles Wagman is a Clinical in Red Bank, New Jersey. Miles Wagman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Miles Wagman is 1629091236. The last update date is 2007-07-08.
Miles Wagman's current location address is 41 Reckless Pl, Red Bank, New Jersey. You can contact this provider via phone number 7325307544 and fax number 7325304145. The mailing address for Miles Wagman is 41 Reckless Pl, Red Bank, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Miles Wagman |
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Address | 41 Reckless Pl, Red Bank, New Jersey |
Phone Number | 7325307544 |
Fax Number | 7325304145 |
Sole Proprietor | Y |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1629091236 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 41 Reckless Pl |
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City | Red Bank |
State | New Jersey (NJ) |
Post Code | 77011703 |
Phone Number | 7325307544 |
Fax Number | 7325304145 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 44SC00365300 |
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 Miles Wagman's unique identification number?
The Miles Wagman has been assigned the NPI (National Provider Identifier) Number 1629091236 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Miles Wagman's facilities are situated?
The facilities of Miles Wagman are physically located at the following address: 41 Reckless Pl, Red Bank, NJ, 77011703.
What is Miles Wagman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Miles Wagman is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1629091236 assigned to Miles Wagman?
The Miles Wagman was issued its 1629091236 on 2006-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Miles Wagman last refreshed?
The information related to the Miles Wagman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.