Genie M. Portillo in Westhampton Beach - Clinical
Genie M. Portillo - NPI 1215018007
Genie M. Portillo is a Clinical in Westhampton Beach, New York. Genie M. Portillo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Genie M. Portillo is 1215018007. The last update date is 2021-04-21.
Genie M. Portillo's current location address is 16 Library Ave, Westhampton Beach, New York. You can contact this provider via phone number 6319984644 and fax number 6319984645. The mailing address for Genie M. Portillo is 16 Library Ave, Westhampton Beach, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Genie M. Portillo |
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Address | 16 Library Ave, Westhampton Beach, New York |
Phone Number | 6319984644 |
Fax Number | 6319984645 |
Sole Proprietor | Y |
Credentials | LCSWR |
NPI Number Detail
NPI Number | 1215018007 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
Address | 16 Library Ave |
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City | Westhampton Beach |
State | New York (NY) |
Post Code | 119782664 |
Phone Number | 6319984644 |
Fax Number | 6319984645 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | R065271-1 |
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 |
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What is the unique identification code assigned to Genie M. Portillo by the Centers for Medicare & Medicaid Services?
The Genie M. Portillo has been issued the NPI (National Provider Identifier) 1215018007. 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 Genie M. Portillo's physical address?
The Genie M. Portillo is physically located at 16 Library Ave, in the city of Westhampton Beach, NY, with the postal code 119782664.
What is Genie M. Portillo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Genie M. Portillo is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Genie M. Portillo receive its 1215018007 assignment from the Centers for Medicare & Medicaid Services?
The Genie M. Portillo was assigned its 1215018007 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date were the Genie M. Portillo's details last updated?
The information pertaining to the Genie M. Portillo, including its address, specialty, and other details, was most recently updated on 2021-04-21.