Keisha Nicole Senior in Chappaqua - Clinical
Keisha Nicole Senior - NPI 1134303704
Keisha Nicole Senior is a Clinical in Chappaqua, New York. Keisha Nicole Senior practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keisha Nicole Senior is 1134303704. The last update date is 2014-04-10.
Keisha Nicole Senior's current location address is 1 S Greeley Ave, Chappaqua, New York. You can contact this provider via phone number 9142381699. The mailing address for Keisha Nicole Senior is 1 S Greeley Ave, Chappaqua, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keisha Nicole Senior |
|---|---|
| Address | 1 S Greeley Ave, Chappaqua, New York |
| Phone Number | 9142381699 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1134303704 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2014-04-10 |
Provider Mailing Address Detail
| Address | 1 S Greeley Ave |
|---|---|
| City | Chappaqua |
| State | New York (NY) |
| Post Code | 105143346 |
| Phone Number | 9142381699 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 77636 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285628552 | NY | AGENCY |
Post Comment/ Review Below
What is the unique identifier code issued to Keisha Nicole Senior by the Centers for Medicare & Medicaid Services?
The Keisha Nicole Senior has been assigned the NPI (National Provider Identifier) 1134303704. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Keisha Nicole Senior's facilities are situated?
The facilities of Keisha Nicole Senior are physically located at the following address: 1 S Greeley Ave, Chappaqua, NY, 105143346.
What is Keisha Nicole Senior's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keisha Nicole Senior is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134303704 to Keisha Nicole Senior?
The Keisha Nicole Senior received its 1134303704 assignment from the Centers for Medicare & Medicaid Services on 2007-12-19.
As of what date were the details related to Keisha Nicole Senior most recently updated or revised?
The information pertaining to Keisha Nicole Senior, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-10.
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