Kathleen Lysohir is a Clinical in Rego Park, New York. Kathleen Lysohir practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Lysohir is 1174694996. The last update date is 2007-07-08.
Kathleen Lysohir's current location address is 9729 64th Rd, Rego Park, New York. You can contact this provider via phone number 7188963400. The mailing address for Kathleen Lysohir is 9729 64th Rd, Rego Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Lysohir |
|---|---|
| Address | 9729 64th Rd, Rego Park, New York |
| Phone Number | 7188963400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174694996 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9729 64th Rd |
|---|---|
| City | Rego Park |
| State | New York (NY) |
| Post Code | 113742240 |
| Phone Number | 7188963400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 38843 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 244019 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kathleen Lysohir by the Centers for Medicare & Medicaid Services?
The Kathleen Lysohir has been assigned the NPI (National Provider Identifier) 1174694996 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kathleen Lysohir's facilities are situated?
The facilities of Kathleen Lysohir are physically located at the following address: 9729 64Th Rd, Rego Park, NY, 113742240.
What is Kathleen Lysohir's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen Lysohir's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Kathleen Lysohir receive its 1174694996 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Lysohir was assigned its 1174694996 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kathleen Lysohir most recently updated or revised?
The information pertaining to Kathleen Lysohir, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.