Bruce L Coopersmith in Port Jervis - Clinical
Bruce L Coopersmith - NPI 1891783049
Bruce L Coopersmith is a Clinical in Port Jervis, New York. Bruce L Coopersmith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce L Coopersmith is 1891783049. The last update date is 2014-02-28.
Bruce L Coopersmith's current location address is 146 Pike St, Port Jervis, New York. You can contact this provider via phone number 8458581456 and fax number 8458581459. The mailing address for Bruce L Coopersmith is 146 Pike St, Port Jervis, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce L Coopersmith |
|---|---|
| Address | 146 Pike St, Port Jervis, New York |
| Phone Number | 8458581456 |
| Fax Number | 8458581459 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1891783049 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2014-02-28 |
Provider Mailing Address Detail
| Address | 146 Pike St |
|---|---|
| City | Port Jervis |
| State | New York (NY) |
| Post Code | 127711808 |
| Phone Number | 8458581456 |
| Fax Number | 8458581459 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R034362-1 |
|
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 |
|---|---|---|---|
| 542503 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce L Coopersmith by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce L Coopersmith has been assigned the NPI (National Provider Identifier) 1891783049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bruce L Coopersmith is physically located?
The Bruce L Coopersmith is physically situated at the following address: 146 Pike St, Port Jervis, NY, 127711808.
What is Bruce L Coopersmith'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 Bruce L Coopersmith is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Bruce L Coopersmith receive the assignment of its 1891783049 from the Centers for Medicare & Medicaid Services?
The Bruce L Coopersmith was issued its 1891783049 by the Centers for Medicare & Medicaid Services on 2005-10-12.
When was the information related to Bruce L Coopersmith most recently updated or refreshed?
The details pertaining to the Bruce L Coopersmith, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-28.
NPI Number: 1609879220
Address: 1910 Cherokee Ave. Sw, Cullman, AL