Nancy Dereksen is a Clinical in Pelham, New York. Nancy Dereksen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nancy Dereksen is 1689884546. The last update date is 2007-07-08.
Nancy Dereksen's current location address is 111 Second Ave, Pelham, New York. You can contact this provider via phone number 9147384226. The mailing address for Nancy Dereksen is 111 Second Ave, Pelham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy Dereksen |
|---|---|
| Address | 111 Second Ave, Pelham, New York |
| Phone Number | 9147384226 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689884546 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 Second Ave |
|---|---|
| City | Pelham |
| State | New York (NY) |
| Post Code | 108031419 |
| Phone Number | 9147384226 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R025105-1 |
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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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Post Comment/ Review Below
What is the Nancy Dereksen's unique identification number?
The Nancy Dereksen has been assigned the NPI (National Provider Identifier) Number 1689884546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Nancy Dereksen is geographically located?
The Nancy Dereksen is physically situated at the following location: 111 Second Ave, Pelham, NY, 108031419.
What is Nancy Dereksen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nancy Dereksen is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Nancy Dereksen receive its 1689884546 assignment from the Centers for Medicare & Medicaid Services?
The Nancy Dereksen was assigned its 1689884546 by the Centers for Medicare & Medicaid Services on 2007-05-22.
When was the Nancy Dereksen's information last updated?
The Nancy Dereksen's information was last updated on 2007-07-08.