Edward Stephen Dick in Cambridge - Clinical
Edward Stephen Dick - NPI 1972668663
Edward Stephen Dick is a Clinical in Cambridge, New York. Edward Stephen Dick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Stephen Dick is 1972668663. The last update date is 2010-08-26.
Edward Stephen Dick's current location address is 15 W Main St, Cambridge, New York. You can contact this provider via phone number 5186772290 and fax number 5186772290. The mailing address for Edward Stephen Dick is 15 W Main St, Cambridge, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stephen Dick |
|---|---|
| Address | 15 W Main St, Cambridge, New York |
| Phone Number | 5186772290 |
| Fax Number | 5186772290 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972668663 |
|---|---|
| Provider Enumeration Date | 2006-12-25 |
| Last Updated Date | 2010-08-26 |
Provider Mailing Address Detail
| Address | 15 W Main St |
|---|---|
| City | Cambridge |
| State | New York (NY) |
| Post Code | 128161118 |
| Phone Number | 5186772290 |
| Fax Number | 5186772290 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R027902 |
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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 |
|---|---|---|---|
| 405869003 | NY | BLUE SHIELD OF NENY | |
| N3572 | NY | EMPIRE HEALTHCHOICE | |
| 7400918 | NY | GHI | |
| 132738 | NY | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Stephen Dick by the Centers for Medicare & Medicaid Services?
The Edward Stephen Dick has been assigned the NPI (National Provider Identifier) 1972668663. 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 provide the complete physical location address of Edward Stephen Dick?
The Edward Stephen Dick is physically situated at 15 W Main St, in the city of Cambridge, state of NY, with the postal code 128161118.
What is the Edward Stephen Dick's specialty and taxonomy code?
The Edward Stephen Dick's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972668663 to Edward Stephen Dick?
The Centers for Medicare & Medicaid Services originally issued the 1972668663 to Edward Stephen Dick on 2006-12-25.
When was the information pertaining to Edward Stephen Dick most recently updated or revised?
The details related to Edward Stephen Dick, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-26.
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