Roberta M Smalls in East Stroudsburg - Clinical
Roberta M Smalls - NPI 1104847227
Roberta M Smalls is a Clinical in East Stroudsburg, Pennsylvania. Roberta M Smalls practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roberta M Smalls is 1104847227. The last update date is 2011-02-07.
Roberta M Smalls's current location address is 22 White Heron Lk, East Stroudsburg, Pennsylvania. You can contact this provider via phone number 5706206911 and fax number 7143331817. The mailing address for Roberta M Smalls is 22 White Heron Lk, East Stroudsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta M Smalls |
|---|---|
| Address | 22 White Heron Lk, East Stroudsburg, Pennsylvania |
| Phone Number | 5706206911 |
| Fax Number | 7143331817 |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1104847227 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2011-02-07 |
Provider Mailing Address Detail
| Address | 22 White Heron Lk |
|---|---|
| City | East Stroudsburg |
| State | Pennsylvania (PA) |
| Post Code | 183028936 |
| Phone Number | 5706206911 |
| Fax Number | 7143331817 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW013133 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18508420001 | PA | -- | |
| 924701 | PA | HIGHMARK | |
| 168715 | PA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Roberta M Smalls by the Centers for Medicare & Medicaid Services?
The Roberta M Smalls has been issued the NPI (National Provider Identifier) 1104847227. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Roberta M Smalls's facilities are geographically located?
The facilities of Roberta M Smalls are physically situated at the following location: 22 White Heron Lk, East Stroudsburg, PA, 183028936.
What is Roberta M Smalls's area of expertise and its corresponding taxonomy classification?
The Roberta M Smalls's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1104847227 to Roberta M Smalls?
The Roberta M Smalls received its 1104847227 assignment from the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details related to Roberta M Smalls most recently updated or revised?
The information pertaining to Roberta M Smalls, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-07.