Evan Ira Senreich in Staten Island - Clinical
Evan Ira Senreich - NPI 1376622605
Evan Ira Senreich is a Clinical in Staten Island, New York. Evan Ira Senreich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evan Ira Senreich is 1376622605. The last update date is 2007-07-08.
Evan Ira Senreich's current location address is 78 Taylor Street, Staten Island, New York. You can contact this provider via phone number 2126428594 and fax number 2126897745. The mailing address for Evan Ira Senreich is 78 Taylor Street, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Ira Senreich |
|---|---|
| Address | 78 Taylor Street, Staten Island, New York |
| Phone Number | 2126428594 |
| Fax Number | 2126897745 |
| Sole Proprietor | N |
| Credentials | MSW LCSW A |
NPI Number Detail
| NPI Number | 1376622605 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 78 Taylor Street |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 10310 |
| Phone Number | 2126428594 |
| Fax Number | 2126897745 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0390701 |
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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 |
|---|---|---|---|
| NOI921 | NY | MEDICARE MANHATTAN |
Post Comment/ Review Below
What is the Evan Ira Senreich's 1376622605?
The Evan Ira Senreich's NPI (National Provider Identifier) Number is 1376622605. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Evan Ira Senreich located?
The Evan Ira Senreich is located at 78 Taylor Street, Staten Island, NY 10310.
What is the Evan Ira Senreich's area of specialization and corresponding taxonomy classification?
The Evan Ira Senreich's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1376622605 assigned to Evan Ira Senreich?
The Evan Ira Senreich was issued its 1376622605 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Evan Ira Senreich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evan Ira Senreich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.