David Joseph Mckeon in Gloversville - Clinical

David Joseph Mckeon - NPI 1003029216

David Joseph Mckeon is a Clinical in Gloversville, New York. David Joseph Mckeon practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Joseph Mckeon is 1003029216. The last update date is 2009-09-18.

David Joseph Mckeon's current location address is 11-21 Broadway, Gloversville, New York. You can contact this provider via phone number 5187254310 and fax number 5187254310. The mailing address for David Joseph Mckeon is 11-21 Broadway, Gloversville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David Joseph Mckeon
Address 11-21 Broadway, Gloversville, New York
Phone Number 5187254310
Fax Number 5187254310
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1003029216
Provider Enumeration Date 2007-05-07
Last Updated Date 2009-09-18

Provider Mailing Address Detail

Address 11-21 Broadway
City Gloversville
State New York (NY)
Post Code 12078
Phone Number 5187254310
Fax Number 5187254310

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 74231
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
2994425 NY --

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FAQs about David Joseph Mckeon

What is the unique provider identifier assigned to David Joseph Mckeon?

The David Joseph Mckeon has been issued the NPI (National Provider Identifier) 1003029216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where David Joseph Mckeon is physically located?

The David Joseph Mckeon is physically situated at the following address: 11-21 Broadway, Gloversville, NY, 12078.

What is the David Joseph Mckeon's area of specialization and corresponding taxonomy classification?

The David Joseph Mckeon's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When did David Joseph Mckeon receive its 1003029216 assignment?

The David Joseph Mckeon was assigned its 1003029216 on 2007-05-07, which is the date when this unique identifier was issued to the organization.

When was the information related to David Joseph Mckeon most recently updated or refreshed?

The details pertaining to the David Joseph Mckeon, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-18.

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