Devera Black is a Clinical in So Salem, New York. Devera Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Devera Black is 1043355233. The last update date is 2007-07-26.
Devera Black's current location address is 71 Twin Lakes Rd, So Salem, New York. You can contact this provider via phone number 9147633438. The mailing address for Devera Black is 71 Twin Lakes Rd, So Salem, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Devera Black |
|---|---|
| Address | 71 Twin Lakes Rd, So Salem, New York |
| Phone Number | 9147633438 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1043355233 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 71 Twin Lakes Rd |
|---|---|
| City | So Salem |
| State | New York (NY) |
| Post Code | 10590 |
| Phone Number | 9147633438 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Devera Black?
The Devera Black has been issued the NPI (National Provider Identifier) 1043355233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Devera Black?
The Devera Black is physically situated at 71 Twin Lakes Rd, in the city of So Salem, state of NY, with the postal code 10590.
What is Devera Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Devera Black is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Devera Black receive its 1043355233 assignment from the Centers for Medicare & Medicaid Services?
The Devera Black was assigned its 1043355233 on 2007-02-21, 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 Devera Black's details last updated?
The information pertaining to the Devera Black, including its address, specialty, and other details, was most recently updated on 2007-07-26.