Rebecca Lenore Domroe in Clay - Clinical
Rebecca Lenore Domroe - NPI 1861440588
Rebecca Lenore Domroe is a Clinical in Clay, New York. Rebecca Lenore Domroe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rebecca Lenore Domroe is 1861440588. The last update date is 2007-07-08.
Rebecca Lenore Domroe's current location address is 4576 Waterhouse Rd, Clay, New York. You can contact this provider via phone number 3156526338 and fax number 3156526338. The mailing address for Rebecca Lenore Domroe is 4576 Waterhouse Rd, Clay, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Lenore Domroe |
|---|---|
| Address | 4576 Waterhouse Rd, Clay, New York |
| Phone Number | 3156526338 |
| Fax Number | 3156526338 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861440588 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4576 Waterhouse Rd |
|---|---|
| City | Clay |
| State | New York (NY) |
| Post Code | 130419613 |
| Phone Number | 3156526338 |
| Fax Number | 3156526338 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R028514-1 |
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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 unique identification code assigned to Rebecca Lenore Domroe by the Centers for Medicare & Medicaid Services?
The Rebecca Lenore Domroe has been issued the NPI (National Provider Identifier) 1861440588. This 10-digit code 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 Rebecca Lenore Domroe's facilities are situated?
The facilities of Rebecca Lenore Domroe are physically located at the following address: 4576 Waterhouse Rd, Clay, NY, 130419613.
What is the Rebecca Lenore Domroe's specialty and taxonomy code?
The Rebecca Lenore Domroe's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861440588 to Rebecca Lenore Domroe?
The Centers for Medicare & Medicaid Services originally issued the 1861440588 to Rebecca Lenore Domroe on 2006-05-05.
As of what date were the details related to Rebecca Lenore Domroe most recently updated or revised?
The information pertaining to Rebecca Lenore Domroe, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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