Sadie Venita Bryan-Johnson in Pine Bush - Clinical

Sadie Venita Bryan-Johnson - NPI 1710072434

Sadie Venita Bryan-Johnson is a Clinical in Pine Bush, New York. Sadie Venita Bryan-Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sadie Venita Bryan-Johnson is 1710072434. The last update date is 2007-07-08.

Sadie Venita Bryan-Johnson's current location address is 62 Boyce Rd, Pine Bush, New York. You can contact this provider via phone number 7189314045 and fax number 7188281329. The mailing address for Sadie Venita Bryan-Johnson is 62 Boyce Rd, Pine Bush, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Sadie Venita Bryan-Johnson
Address 62 Boyce Rd, Pine Bush, New York
Phone Number 7189314045
Fax Number 7188281329
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1710072434
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 62 Boyce Rd
City Pine Bush
State New York (NY)
Post Code 125666802
Phone Number 7189314045
Fax Number 7188281329

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R044088
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 Sadie Venita Bryan-Johnson

What is the unique 10-digit identification code assigned to Sadie Venita Bryan-Johnson by the Centers for Medicare & Medicaid Services?

The Sadie Venita Bryan-Johnson has been issued the NPI (National Provider Identifier) 1710072434, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Sadie Venita Bryan-Johnson located?

The Sadie Venita Bryan-Johnson is located at 62 Boyce Rd, Pine Bush, NY 125666802.

What is Sadie Venita Bryan-Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sadie Venita Bryan-Johnson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Sadie Venita Bryan-Johnson receive its 1710072434 assignment from the Centers for Medicare & Medicaid Services?

The Sadie Venita Bryan-Johnson was assigned its 1710072434 by the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information pertaining to Sadie Venita Bryan-Johnson most recently updated or revised?

The details related to Sadie Venita Bryan-Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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