Tasha Petropoulo Knob in Drexel Hill - Clinical
Tasha Petropoulo Knob - NPI 1699868190
Tasha Petropoulo Knob is a Clinical in Drexel Hill, Pennsylvania. Tasha Petropoulo Knob practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tasha Petropoulo Knob is 1699868190. The last update date is 2021-10-01.
Tasha Petropoulo Knob's current location address is 1012 Childs Ave, Drexel Hill, Pennsylvania. You can contact this provider via phone number 4843320978. The mailing address for Tasha Petropoulo Knob is 1012 Childs Ave, Drexel Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tasha Petropoulo Knob |
|---|---|
| Address | 1012 Childs Ave, Drexel Hill, Pennsylvania |
| Phone Number | 4843320978 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699868190 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | 1012 Childs Ave |
|---|---|
| City | Drexel Hill |
| State | Pennsylvania (PA) |
| Post Code | 190264028 |
| Phone Number | 4843320978 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW013684 |
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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 10-digit identifier code issued to Tasha Petropoulo Knob by the Centers for Medicare & Medicaid Services?
The Tasha Petropoulo Knob has been assigned the NPI (National Provider Identifier) 1699868190 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tasha Petropoulo Knob is located?
The Tasha Petropoulo Knob is situated at the following address: 1012 Childs Ave, Drexel Hill, PA, 190264028.
What is the Tasha Petropoulo Knob's specialty and taxonomy code?
The Tasha Petropoulo Knob's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699868190 to Tasha Petropoulo Knob?
The Centers for Medicare & Medicaid Services assigned the 1699868190 to Tasha Petropoulo Knob on 2006-10-02.
As of what date was the information pertaining to Tasha Petropoulo Knob, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tasha Petropoulo Knob, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-01.