Isabel Acosta Wildeman in Rockville Centre - Clinical
Isabel Acosta Wildeman - NPI 1013010602
Isabel Acosta Wildeman is a Clinical in Rockville Centre, New York. Isabel Acosta Wildeman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Isabel Acosta Wildeman is 1013010602. The last update date is 2007-07-08.
Isabel Acosta Wildeman's current location address is 100 North Village Ave, Rockville Centre, New York. You can contact this provider via phone number 5164854003 and fax number 5164854003. The mailing address for Isabel Acosta Wildeman is 100 North Village Ave, Rockville Centre, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Isabel Acosta Wildeman |
|---|---|
| Address | 100 North Village Ave, Rockville Centre, New York |
| Phone Number | 5164854003 |
| Fax Number | 5164854003 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013010602 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 North Village Ave |
|---|---|
| City | Rockville Centre |
| State | New York (NY) |
| Post Code | 115703712 |
| Phone Number | 5164854003 |
| Fax Number | 5164854003 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR0138621 |
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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 Isabel Acosta Wildeman by the Centers for Medicare & Medicaid Services?
The Isabel Acosta Wildeman has been assigned the NPI (National Provider Identifier) 1013010602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Isabel Acosta Wildeman is located?
The Isabel Acosta Wildeman is situated at the following address: 100 North Village Ave, Rockville Centre, NY, 115703712.
What is the area of specialization for Isabel Acosta Wildeman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Isabel Acosta Wildeman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013010602 to Isabel Acosta Wildeman?
The Isabel Acosta Wildeman received its 1013010602 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the Isabel Acosta Wildeman's details last updated?
The information pertaining to the Isabel Acosta Wildeman, including its address, specialty, and other details, was most recently updated on 2007-07-08.