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
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
Provider Enumeration Date 2007-01-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 112 Dewitt St
City Syracuse
State New York (NY)
Post Code 132032890
Phone Number 3144154880
Fax Number 3154694474

Provider's Primary Taxonomy Detail

Speciality Clinical
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

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FAQs about Joseph Charles Masterleo

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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