Laura Van Vlack is a Clinical in Kingston, New York. Laura Van Vlack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Van Vlack is 1720154313. The last update date is 2014-07-15.
Laura Van Vlack's current location address is 239 Golden Hill Ln, Kingston, New York. You can contact this provider via phone number 8453404000. The mailing address for Laura Van Vlack is 239 Golden Hill Ln, Kingston, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Van Vlack |
|---|---|
| Address | 239 Golden Hill Ln, Kingston, New York |
| Phone Number | 8453404000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1720154313 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
| Address | 239 Golden Hill Ln |
|---|---|
| City | Kingston |
| State | New York (NY) |
| Post Code | 124016441 |
| Phone Number | 8453404000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R076088 |
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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 |
|---|---|---|---|
| 30338451 | NY | -- |
Post Comment/ Review Below
What is the Laura Van Vlack's 1720154313?
The Laura Van Vlack's NPI (National Provider Identifier) Number is 1720154313. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Laura Van Vlack's facilities are situated?
The facilities of Laura Van Vlack are physically located at the following address: 239 Golden Hill Ln, Kingston, NY, 124016441.
What is Laura Van Vlack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Laura Van Vlack is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720154313 to Laura Van Vlack?
The Centers for Medicare & Medicaid Services originally issued the 1720154313 to Laura Van Vlack on 2006-11-27.
When was the information regarding Laura Van Vlack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Laura Van Vlack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-15.