Stephen J Crovello in Port Jefferson Stati - Clinical
Stephen J Crovello - NPI 1518088046
Stephen J Crovello is a Clinical in Port Jefferson Stati, New York. Stephen J Crovello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen J Crovello is 1518088046. The last update date is 2014-10-01.
Stephen J Crovello's current location address is 1050 Hallock Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6314744777 and fax number 6314760766. The mailing address for Stephen J Crovello is 1050 Hallock Ave, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen J Crovello |
|---|---|
| Address | 1050 Hallock Ave, Port Jefferson Stati, New York |
| Phone Number | 6314744777 |
| Fax Number | 6314760766 |
| Sole Proprietor | Y |
| Credentials | LCSW PC |
NPI Number Detail
| NPI Number | 1518088046 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2014-10-01 |
Provider Mailing Address Detail
| Address | 1050 Hallock Ave |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761214 |
| Phone Number | 6314744777 |
| Fax Number | 6314760766 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R040971-1 |
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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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What is the unique 10-digit identification code issued to Stephen J Crovello by the Centers for Medicare & Medicaid Services?
The Stephen J Crovello has been assigned the NPI (National Provider Identifier) 1518088046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Stephen J Crovello is physically located?
The Stephen J Crovello is physically situated at the following address: 1050 Hallock Ave, Port Jefferson Stati, NY, 117761214.
What is the Stephen J Crovello's area of specialization and corresponding taxonomy classification?
The Stephen J Crovello's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Stephen J Crovello receive its 1518088046?
The Stephen J Crovello was issued its 1518088046 on 2007-04-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Stephen J Crovello most recently updated or revised?
The information pertaining to Stephen J Crovello, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-01.
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