Theodore L Hernitche in Smithtown - Clinical
Theodore L Hernitche - NPI 1083724124
Theodore L Hernitche is a Clinical in Smithtown, New York. Theodore L Hernitche practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore L Hernitche is 1083724124. The last update date is 2017-09-11.
Theodore L Hernitche's current location address is 180 E Main St, Smithtown, New York. You can contact this provider via phone number 6318632499 and fax number 6314066007. The mailing address for Theodore L Hernitche is 180 E Main St, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore L Hernitche |
|---|---|
| Address | 180 E Main St, Smithtown, New York |
| Phone Number | 6318632499 |
| Fax Number | 6314066007 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083724124 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2017-09-11 |
Provider Mailing Address Detail
| Address | 180 E Main St |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117872800 |
| Phone Number | 6318632499 |
| Fax Number | 6314066007 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R038418-1 |
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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 |
|---|---|---|---|
| N7X831 | NY | EMPIRE BC/BS PROVIDER ID | |
| A347769 | NY | VALUEOPTIONS VENDOR ID | |
| P3385576 | NY | OXFORD PROVIDER # | |
| 7481499 | NY | GHI PIN # | |
| R038418-1 | NY | NEW YORK STATE LICENSE # |
Post Comment/ Review Below
What is the Theodore L Hernitche's 1083724124?
The Theodore L Hernitche's NPI (National Provider Identifier) Number is 1083724124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theodore L Hernitche is physically located?
The Theodore L Hernitche is physically situated at the following address: 180 E Main St, Smithtown, NY, 117872800.
What is the Theodore L Hernitche's specialty and taxonomy code?
The Theodore L Hernitche's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Theodore L Hernitche receive the assignment of its 1083724124 from the Centers for Medicare & Medicaid Services?
The Theodore L Hernitche was issued its 1083724124 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the Theodore L Hernitche's information last updated?
The Theodore L Hernitche's information was last updated on 2017-09-11.