Roger Streeseman is a Clinical in Massapequa, New York. Roger Streeseman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Streeseman is 1497891113. The last update date is 2007-07-08.
Roger Streeseman's current location address is 57 E Shore Dr, Massapequa, New York. You can contact this provider via phone number 5167957284. The mailing address for Roger Streeseman is 57 E Shore Dr, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Streeseman |
|---|---|
| Address | 57 E Shore Dr, Massapequa, New York |
| Phone Number | 5167957284 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, MA, P |
NPI Number Detail
| NPI Number | 1497891113 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 57 E Shore Dr |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117586710 |
| Phone Number | 5167957284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PRO17347-1 |
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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 |
|---|---|---|---|
| 17347 | NY | CSW |
Post Comment/ Review Below
What is the unique identification code assigned to Roger Streeseman by the Centers for Medicare & Medicaid Services?
The Roger Streeseman has been issued the NPI (National Provider Identifier) 1497891113. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Roger Streeseman?
The Roger Streeseman is situated at 57 E Shore Dr, in the city of Massapequa, state of NY, with the zip code 117586710.
What is Roger Streeseman's area of expertise and its corresponding taxonomy classification?
The Roger Streeseman's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1497891113 to Roger Streeseman?
The Roger Streeseman received its 1497891113 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details pertaining to Roger Streeseman last refreshed?
The information related to the Roger Streeseman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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