Andrea Cecile Mcneil Tucker in Cambria Heights - Clinical

Andrea Cecile Mcneil Tucker - NPI 1205980554

Andrea Cecile Mcneil Tucker is a Clinical in Cambria Heights, New York. Andrea Cecile Mcneil Tucker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Cecile Mcneil Tucker is 1205980554. The last update date is 2007-07-09.

Andrea Cecile Mcneil Tucker's current location address is 11711 Francis Lewis Blvd, Cambria Heights, New York. You can contact this provider via phone number 9172705558 and fax number 3475945793. The mailing address for Andrea Cecile Mcneil Tucker is 11711 Francis Lewis Blvd, Cambria Heights, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Cecile Mcneil Tucker
Address 11711 Francis Lewis Blvd, Cambria Heights, New York
Phone Number 9172705558
Fax Number 3475945793
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1205980554
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 11711 Francis Lewis Blvd
City Cambria Heights
State New York (NY)
Post Code 114111521
Phone Number 9172705558
Fax Number 3475945793

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R053103-1
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
533116 NY --
533116 NY VALUE OPTIONS

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FAQs about Andrea Cecile Mcneil Tucker

What is the unique 10-digit identification code assigned to Andrea Cecile Mcneil Tucker by the Centers for Medicare & Medicaid Services?

The Andrea Cecile Mcneil Tucker has been issued the NPI (National Provider Identifier) 1205980554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Andrea Cecile Mcneil Tucker's facilities are situated?

The facilities of Andrea Cecile Mcneil Tucker are physically located at the following address: 11711 Francis Lewis Blvd, Cambria Heights, NY, 114111521.

What is the Andrea Cecile Mcneil Tucker's specialty and taxonomy code?

The Andrea Cecile Mcneil Tucker's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did Andrea Cecile Mcneil Tucker receive its 1205980554 assignment from the Centers for Medicare & Medicaid Services?

The Andrea Cecile Mcneil Tucker was assigned its 1205980554 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Andrea Cecile Mcneil Tucker last refreshed?

The information related to the Andrea Cecile Mcneil Tucker, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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