Kenneth Edwards in West Islip - Clinical

Kenneth Edwards - NPI 1982796793

Kenneth Edwards is a Clinical in West Islip, New York. Kenneth Edwards practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Edwards is 1982796793. The last update date is 2007-07-08.

Kenneth Edwards's current location address is 500 Montauk Hwy Ste M, West Islip, New York. You can contact this provider via phone number 6317666014. The mailing address for Kenneth Edwards is 500 Montauk Hwy Ste M, West Islip, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Edwards
Address 500 Montauk Hwy Ste M, West Islip, New York
Phone Number 6317666014
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1982796793
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 500 Montauk Hwy Ste M
City West Islip
State New York (NY)
Post Code 117954419
Phone Number 6317666014
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No RO36605-01
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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FAQs about Kenneth Edwards

What is the Kenneth Edwards's unique identification number?

The Kenneth Edwards has been assigned the NPI (National Provider Identifier) Number 1982796793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kenneth Edwards is geographically located?

The Kenneth Edwards is physically situated at the following location: 500 Montauk Hwy Ste M, West Islip, NY, 117954419.

What is Kenneth Edwards's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Edwards is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

When did the Kenneth Edwards receive its 1982796793?

The Kenneth Edwards was issued its 1982796793 on 2006-09-29, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kenneth Edwards most recently updated or revised?

The information pertaining to Kenneth Edwards, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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