Alissa Mallow is a Clinical in Goshen, New York. Alissa Mallow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alissa Mallow is 1134281694. The last update date is 2023-03-09.
Alissa Mallow's current location address is 6 Bridle Ct, Goshen, New York. You can contact this provider via phone number 5165268318. The mailing address for Alissa Mallow is 6 Bridle Ct, Goshen, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alissa Mallow |
|---|---|
| Address | 6 Bridle Ct, Goshen, New York |
| Phone Number | 5165268318 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DSW, LCSW |
NPI Number Detail
| NPI Number | 1134281694 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2023-03-09 |
Provider Mailing Address Detail
| Address | 6 Bridle Ct |
|---|---|
| City | Goshen |
| State | New York (NY) |
| Post Code | 109241207 |
| Phone Number | 5165268318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 10-digit identifier code assigned to Alissa Mallow by the Centers for Medicare & Medicaid Services?
The Alissa Mallow has been issued the NPI (National Provider Identifier) 1134281694 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Alissa Mallow's physical address?
The Alissa Mallow is physically located at 6 Bridle Ct, in the city of Goshen, NY, with the postal code 109241207.
What is the Alissa Mallow's area of specialization and corresponding taxonomy classification?
The Alissa Mallow's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1134281694 to Alissa Mallow?
The Alissa Mallow received its 1134281694 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the details pertaining to Alissa Mallow last refreshed?
The information related to the Alissa Mallow, including its address, specialty, and other relevant details, was last updated on 2023-03-09.
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