Catherine Cecilia Wilder in Farmingville - Clinical

Catherine Cecilia Wilder - NPI 1619043023

Catherine Cecilia Wilder is a Clinical in Farmingville, New York. Catherine Cecilia Wilder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine Cecilia Wilder is 1619043023. The last update date is 2007-07-08.

Catherine Cecilia Wilder's current location address is 15 Horseblock Pl, Farmingville, New York. You can contact this provider via phone number 6318542571 and fax number 6318542580. The mailing address for Catherine Cecilia Wilder is 15 Horseblock Pl, Farmingville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Catherine Cecilia Wilder
Address 15 Horseblock Pl, Farmingville, New York
Phone Number 6318542571
Fax Number 6318542580
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1619043023
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Horseblock Pl
City Farmingville
State New York (NY)
Post Code 117381204
Phone Number 6318542571
Fax Number 6318542580

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 043731-1
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
043731-1 NY LICENSE NUMBER
5613055 NY CERTIFICATE NUMBER
354807 NY --

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FAQs about Catherine Cecilia Wilder

What is the unique provider identifier assigned to Catherine Cecilia Wilder?

The Catherine Cecilia Wilder has been issued the NPI (National Provider Identifier) 1619043023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Catherine Cecilia Wilder's facilities are situated?

The facilities of Catherine Cecilia Wilder are physically located at the following address: 15 Horseblock Pl, Farmingville, NY, 117381204.

What is the Catherine Cecilia Wilder's area of specialization and corresponding taxonomy classification?

The Catherine Cecilia Wilder'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 originally issue the 1619043023 to Catherine Cecilia Wilder?

The Centers for Medicare & Medicaid Services originally issued the 1619043023 to Catherine Cecilia Wilder on 2006-11-28.

When was the information regarding Catherine Cecilia Wilder most recently updated?

The details pertaining to the Catherine Cecilia Wilder, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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