Martha Catherine Kohl in Brockport - Clinical
Martha Catherine Kohl - NPI 1225081003
Martha Catherine Kohl is a Clinical in Brockport, New York. Martha Catherine Kohl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha Catherine Kohl is 1225081003. The last update date is 2007-07-08.
Martha Catherine Kohl's current location address is 58 Market St, Brockport, New York. You can contact this provider via phone number 5857463410 and fax number 5854614904. The mailing address for Martha Catherine Kohl is 58 Market St, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Catherine Kohl |
|---|---|
| Address | 58 Market St, Brockport, New York |
| Phone Number | 5857463410 |
| Fax Number | 5854614904 |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1225081003 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 58 Market St |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 144201934 |
| Phone Number | 5857463410 |
| Fax Number | 5854614904 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R069430-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 929206002 | NY | HEALTH NOW (BCBS) | |
| 180089FK | NY | PREFERRED CARE | |
| 929206001 | NY | HEALTH NOW (BCBS) | |
| 7748784 | NY | AETNA (RCIPA) |
Post Comment/ Review Below
What is the unique identifier code issued to Martha Catherine Kohl by the Centers for Medicare & Medicaid Services (CMS)?
The Martha Catherine Kohl has been assigned the NPI (National Provider Identifier) 1225081003. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Martha Catherine Kohl's facilities are geographically located?
The facilities of Martha Catherine Kohl are physically situated at the following location: 58 Market St, Brockport, NY, 144201934.
What is Martha Catherine Kohl's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Martha Catherine Kohl is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Martha Catherine Kohl receive the assignment of its 1225081003 from the Centers for Medicare & Medicaid Services?
The Martha Catherine Kohl was issued its 1225081003 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date was the information pertaining to Martha Catherine Kohl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Martha Catherine Kohl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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