Patricia Ann Dershem in Avis - Clinical
Patricia Ann Dershem - NPI 1154424448
Patricia Ann Dershem is a Clinical in Avis, Pennsylvania. Patricia Ann Dershem practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Ann Dershem is 1154424448. The last update date is 2007-07-08.
Patricia Ann Dershem's current location address is 302 West Central Avenue, Avis, Pennsylvania. You can contact this provider via phone number 5707533620 and fax number 5707533620. The mailing address for Patricia Ann Dershem is 302 West Central Avenue, Avis, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Ann Dershem |
---|---|
Address | 302 West Central Avenue, Avis, Pennsylvania |
Phone Number | 5707533620 |
Fax Number | 5707533620 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1154424448 |
---|---|
Provider Enumeration Date | 2006-09-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 302 West Central Avenue |
---|---|
City | Avis |
State | Pennsylvania (PA) |
Post Code | 177211070 |
Phone Number | 5707533620 |
Fax Number | 5707533620 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | CW008439L |
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 |
---|---|---|---|
062223S68 | PA | MEDICARE | |
2117726 | PA | CIGNA | |
474483 | PA | VALUE OPTIONS | |
1617662 | PA | BC/BS HIGHMARK | |
817938 | PA | FIRST PRIORITY HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Patricia Ann Dershem by the Centers for Medicare & Medicaid Services?
The Patricia Ann Dershem has been assigned the NPI (National Provider Identifier) 1154424448. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Patricia Ann Dershem is physically located?
The Patricia Ann Dershem is situated at the following address: 302 West Central Avenue, Avis, PA 177211070.
What is Patricia Ann Dershem's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patricia Ann Dershem is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Patricia Ann Dershem receive its 1154424448 assignment from the Centers for Medicare & Medicaid Services?
The Patricia Ann Dershem was assigned its 1154424448 by the Centers for Medicare & Medicaid Services on 2006-09-05.
When was the information regarding Patricia Ann Dershem, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Patricia Ann Dershem, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC