Michael David Close in Syracuse - Clinical
Michael David Close - NPI 1104972322
Michael David Close is a Clinical in Syracuse, New York. Michael David Close practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael David Close is 1104972322. The last update date is 2007-07-08.
Michael David Close's current location address is 107 Dale St, Syracuse, New York. You can contact this provider via phone number 3156341100 and fax number 3156341122. The mailing address for Michael David Close is 107 Dale St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Close |
|---|---|
| Address | 107 Dale St, Syracuse, New York |
| Phone Number | 3156341100 |
| Fax Number | 3156341122 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1104972322 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Dale St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132082325 |
| Phone Number | 3156341100 |
| Fax Number | 3156341122 |
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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What is the unique identification code assigned to Michael David Close by the Centers for Medicare & Medicaid Services?
The Michael David Close has been issued the NPI (National Provider Identifier) 1104972322. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael David Close's physical address?
The Michael David Close is physically located at 107 Dale St, in the city of Syracuse, NY, with the postal code 132082325.
What is Michael David Close's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael David Close is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Michael David Close receive its 1104972322 assignment from the Centers for Medicare & Medicaid Services?
The Michael David Close was assigned its 1104972322 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Michael David Close most recently updated or revised?
The information pertaining to Michael David Close, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.