Joseph Charles Masterleo in Syracuse - Clinical
Joseph Charles Masterleo - NPI 1700937182
Joseph Charles Masterleo is a Clinical in Syracuse, New York. Joseph Charles Masterleo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph Charles Masterleo is 1700937182. The last update date is 2007-07-08.
Joseph Charles Masterleo's current location address is 112 Dewitt St, Syracuse, New York. You can contact this provider via phone number 3144154880 and fax number 3154694474. The mailing address for Joseph Charles Masterleo is 112 Dewitt St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joseph Charles Masterleo |
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Address | 112 Dewitt St, Syracuse, New York |
Phone Number | 3144154880 |
Fax Number | 3154694474 |
Sole Proprietor | Y |
Credentials | LCSW - DCS |
NPI Number Detail
NPI Number | 1700937182 |
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Provider Enumeration Date | 2007-01-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 112 Dewitt St |
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City | Syracuse |
State | New York (NY) |
Post Code | 132032890 |
Phone Number | 3144154880 |
Fax Number | 3154694474 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | R021307 - 1 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5112 | NY | EXCELLUS, BLUECROSS-BLUES | |
317553 | NY | MVP HEALTHCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joseph Charles Masterleo?
The Joseph Charles Masterleo has been issued the NPI (National Provider Identifier) 1700937182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Joseph Charles Masterleo's facilities are situated?
The facilities of Joseph Charles Masterleo are physically located at the following address: 112 Dewitt St, Syracuse, NY, 132032890.
What is Joseph Charles Masterleo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joseph Charles Masterleo's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700937182 to Joseph Charles Masterleo?
The Centers for Medicare & Medicaid Services assigned the 1700937182 to Joseph Charles Masterleo on 2007-01-14.
As of what date was the information regarding Joseph Charles Masterleo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joseph Charles Masterleo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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