Tania Patricia Barrezueta in Central Islip - Clinical
Tania Patricia Barrezueta - NPI 1912926627
Tania Patricia Barrezueta is a Clinical in Central Islip, New York. Tania Patricia Barrezueta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tania Patricia Barrezueta is 1912926627. The last update date is 2007-07-08.
Tania Patricia Barrezueta's current location address is 115 Carleton Ave, Central Islip, New York. You can contact this provider via phone number 6312347807. The mailing address for Tania Patricia Barrezueta is 115 Carleton Ave, Central Islip, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tania Patricia Barrezueta |
|---|---|
| Address | 115 Carleton Ave, Central Islip, New York |
| Phone Number | 6312347807 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912926627 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 Carleton Ave |
|---|---|
| City | Central Islip |
| State | New York (NY) |
| Post Code | 117223619 |
| Phone Number | 6312347807 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 074701-1 |
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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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What is the Tania Patricia Barrezueta's unique identification number?
The Tania Patricia Barrezueta has been assigned the NPI (National Provider Identifier) Number 1912926627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Tania Patricia Barrezueta's physical address?
The Tania Patricia Barrezueta is physically located at 115 Carleton Ave, in the city of Central Islip, NY, with the postal code 117223619.
What is Tania Patricia Barrezueta's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tania Patricia Barrezueta's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Tania Patricia Barrezueta receive its 1912926627 assignment from the Centers for Medicare & Medicaid Services?
The Tania Patricia Barrezueta was assigned its 1912926627 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details related to Tania Patricia Barrezueta most recently updated or revised?
The information pertaining to Tania Patricia Barrezueta, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1699778829
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