Allen F Summerville in Stratford - Clinical

Allen F Summerville - NPI 1386856516

Allen F Summerville is a Clinical in Stratford, New Jersey. Allen F Summerville practices all healthcare services and medical treatments related to Clinical. The NPI Number for Allen F Summerville is 1386856516. The last update date is 2007-07-08.

Allen F Summerville's current location address is 1 Colby Ave, Stratford, New Jersey. You can contact this provider via phone number 8565411700 and fax number 8563463627. The mailing address for Allen F Summerville is 1 Colby Ave, Stratford, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Allen F Summerville
Address 1 Colby Ave, Stratford, New Jersey
Phone Number 8565411700
Fax Number 8563463627
Sole Proprietor N
Credentials LSW

NPI Number Detail

NPI Number 1386856516
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Colby Ave
City Stratford
State New Jersey (NJ)
Post Code 80841000
Phone Number 8565411700
Fax Number 8563463627

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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
44SL05365800 NJ LSW

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FAQs about Allen F Summerville

What is the Allen F Summerville's unique identification number?

The Allen F Summerville has been assigned the NPI (National Provider Identifier) Number 1386856516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Allen F Summerville is physically located?

The Allen F Summerville is situated at the following address: 1 Colby Ave, Stratford, NJ 80841000.

What is Allen F Summerville's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Allen F Summerville is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Allen F Summerville receive its 1386856516 assignment from the Centers for Medicare & Medicaid Services?

The Allen F Summerville was assigned its 1386856516 by the Centers for Medicare & Medicaid Services on 2007-05-03.

When was the information related to Allen F Summerville most recently updated or refreshed?

The details pertaining to the Allen F Summerville, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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