Dorothy L Distel in Newburgh - Clinical

Dorothy L Distel - NPI 1063579068

Dorothy L Distel is a Clinical in Newburgh, New York. Dorothy L Distel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dorothy L Distel is 1063579068. The last update date is 2012-08-02.

Dorothy L Distel's current location address is 141 Broadway, Newburgh, New York. You can contact this provider via phone number 8455685260 and fax number 8455685213. The mailing address for Dorothy L Distel is 141 Broadway, Newburgh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorothy L Distel
Address 141 Broadway, Newburgh, New York
Phone Number 8455685260
Fax Number 8455685213
Sole Proprietor N
Credentials LCSW-R

NPI Number Detail

NPI Number 1063579068
Provider Enumeration Date 2007-01-02
Last Updated Date 2012-08-02

Provider Mailing Address Detail

Address 141 Broadway
City Newburgh
State New York (NY)
Post Code 12550
Phone Number 8455685260
Fax Number 8455685213

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R036529-1
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

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FAQs about Dorothy L Distel

What is the unique provider identifier assigned to Dorothy L Distel?

The Dorothy L Distel has been issued the NPI (National Provider Identifier) 1063579068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Dorothy L Distel is physically located?

The Dorothy L Distel is situated at the following address: 141 Broadway, Newburgh, NY 12550.

What is Dorothy L Distel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dorothy L Distel is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did Dorothy L Distel receive its 1063579068 assignment from the Centers for Medicare & Medicaid Services?

The Dorothy L Distel was assigned its 1063579068 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Dorothy L Distel most recently updated or revised?

The details related to Dorothy L Distel, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-02.

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