Patricia Centamore in Deer Park - Clinical
Patricia Centamore - NPI 1174531396
Patricia Centamore is a Clinical in Deer Park, New York. Patricia Centamore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Centamore is 1174531396. The last update date is 2007-07-08.
Patricia Centamore's current location address is 62 Pearsall Pl, Deer Park, New York. You can contact this provider via phone number 6316679102 and fax number 6318542552. The mailing address for Patricia Centamore is 62 Pearsall Pl, Deer Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Centamore |
|---|---|
| Address | 62 Pearsall Pl, Deer Park, New York |
| Phone Number | 6316679102 |
| Fax Number | 6318542552 |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1174531396 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 62 Pearsall Pl |
|---|---|
| City | Deer Park |
| State | New York (NY) |
| Post Code | 117292114 |
| Phone Number | 6316679102 |
| Fax Number | 6318542552 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R-045256 |
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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 |
|---|---|---|---|
| R-045256 | NY | SOCIAL WORK LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patricia Centamore by the Centers for Medicare & Medicaid Services?
The Patricia Centamore has been assigned the NPI (National Provider Identifier) 1174531396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Patricia Centamore?
The Patricia Centamore is situated at 62 Pearsall Pl, in the city of Deer Park, state of NY, with the zip code 117292114.
What is the area of specialization for Patricia Centamore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patricia Centamore is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Patricia Centamore receive its 1174531396 assignment?
The Patricia Centamore was assigned its 1174531396 on 2006-08-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Patricia Centamore most recently updated or revised?
The information pertaining to Patricia Centamore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.