Elizabeth P Degrocco in East Yaphank - Clinical
Elizabeth P Degrocco - NPI 1619096427
Elizabeth P Degrocco is a Clinical in East Yaphank, New York. Elizabeth P Degrocco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth P Degrocco is 1619096427. The last update date is 2007-07-08.
Elizabeth P Degrocco's current location address is 1490 William Floyd Pkwy, East Yaphank, New York. You can contact this provider via phone number 6319243741 and fax number 6319242413. The mailing address for Elizabeth P Degrocco is 1490 William Floyd Pkwy, East Yaphank, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth P Degrocco |
|---|---|
| Address | 1490 William Floyd Pkwy, East Yaphank, New York |
| Phone Number | 6319243741 |
| Fax Number | 6319242413 |
| Sole Proprietor | N |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1619096427 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1490 William Floyd Pkwy |
|---|---|
| City | East Yaphank |
| State | New York (NY) |
| Post Code | 119671820 |
| Phone Number | 6319243741 |
| Fax Number | 6319242413 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 069536-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 659412 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elizabeth P Degrocco by the Centers for Medicare & Medicaid Services?
The Elizabeth P Degrocco has been issued the NPI (National Provider Identifier) 1619096427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Elizabeth P Degrocco's physical address?
The Elizabeth P Degrocco is physically located at 1490 William Floyd Pkwy, in the city of East Yaphank, NY, with the postal code 119671820.
What is the Elizabeth P Degrocco's specialty and taxonomy code?
The Elizabeth P Degrocco's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Elizabeth P Degrocco receive its 1619096427 assignment?
The Elizabeth P Degrocco was assigned its 1619096427 on 2007-03-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Elizabeth P Degrocco most recently updated?
The details pertaining to the Elizabeth P Degrocco, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.