David Roger Lutwin in Long Beach - Clinical
David Roger Lutwin - NPI 1073673398
David Roger Lutwin is a Clinical in Long Beach, New York. David Roger Lutwin practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Roger Lutwin is 1073673398. The last update date is 2007-07-08.
David Roger Lutwin's current location address is 115 W Olive St, Long Beach, New York. You can contact this provider via phone number 5168899351 and fax number 5168899351. The mailing address for David Roger Lutwin is 115 W Olive St, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Roger Lutwin |
|---|---|
| Address | 115 W Olive St, Long Beach, New York |
| Phone Number | 5168899351 |
| Fax Number | 5168899351 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W., |
NPI Number Detail
| NPI Number | 1073673398 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 W Olive St |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 115613313 |
| Phone Number | 5168899351 |
| Fax Number | 5168899351 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR011585-1 |
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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 unique identifier code issued to David Roger Lutwin by the Centers for Medicare & Medicaid Services?
The David Roger Lutwin has been assigned the NPI (National Provider Identifier) 1073673398. 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 David Roger Lutwin?
The David Roger Lutwin is physically situated at 115 W Olive St, in the city of Long Beach, state of NY, with the postal code 115613313.
What is the David Roger Lutwin's area of specialization and corresponding taxonomy classification?
The David Roger Lutwin'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 assign the 1073673398 to David Roger Lutwin?
The Centers for Medicare & Medicaid Services assigned the 1073673398 to David Roger Lutwin on 2006-12-08.
As of what date were the David Roger Lutwin's details last updated?
The information pertaining to the David Roger Lutwin, including its address, specialty, and other details, was most recently updated on 2007-07-08.