Senior Outreach Support Services Pc in Conshohcken - Clinical
Senior Outreach Support Services Pc - NPI 1366576084
Senior Outreach Support Services Pc is a Clinical in Conshohcken, Pennsylvania. Senior Outreach Support Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Senior Outreach Support Services Pc is 1366576084. The last update date is 2013-01-16.
Senior Outreach Support Services Pc's current location address is 29 Dechert Road, Conshohcken, Pennsylvania. You can contact this provider via phone number 6108340346 and fax number 6108340346. The mailing address for Senior Outreach Support Services Pc is 29 Dechert Road, Conshohcken, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Senior Outreach Support Services Pc |
|---|---|
| Address | 29 Dechert Road, Conshohcken, Pennsylvania |
| Phone Number | 6108340346 |
| Fax Number | 6108340346 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hanna E Joyce |
| Credentials | MSS LCSW |
| Telephone Number | 6108340346 |
NPI Number Detail
| NPI Number | 1366576084 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2013-01-16 |
Provider Mailing Address Detail
| Address | 29 Dechert Road |
|---|---|
| City | Conshohcken |
| State | Pennsylvania (PA) |
| Post Code | 194282114 |
| Phone Number | 6108340346 |
| Fax Number | 6108340346 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW013760 |
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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 Senior Outreach Support Services Pc's 1366576084?
The Senior Outreach Support Services Pc's NPI (National Provider Identifier) Number is 1366576084. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Senior Outreach Support Services Pc located?
The Senior Outreach Support Services Pc is located at 29 Dechert Road, Conshohcken, PA 194282114.
What is Senior Outreach Support Services Pc'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 Senior Outreach Support Services Pc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Senior Outreach Support Services Pc receive its 1366576084 assignment from the Centers for Medicare & Medicaid Services?
The Senior Outreach Support Services Pc was assigned its 1366576084 by the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date were the details pertaining to Senior Outreach Support Services Pc last refreshed?
The information related to the Senior Outreach Support Services Pc, including its address, specialty, and other relevant details, was last updated on 2013-01-16.
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