Luzerne Wyoming County Mh Center #1 in Kingston - Clinical
Luzerne Wyoming County Mh Center #1 - NPI 1609056530
Luzerne Wyoming County Mh Center #1 is a Clinical in Kingston, Pennsylvania. Luzerne Wyoming County Mh Center #1 practices all healthcare services and medical treatments related to Clinical. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1609056530. The last update date is 2007-11-08.
Luzerne Wyoming County Mh Center #1's current location address is 562 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5705523900 and fax number 5705523907. The mailing address for Luzerne Wyoming County Mh Center #1 is 562 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Luzerne Wyoming County Mh Center #1 |
|---|---|
| Address | 562 Wyoming Ave, Kingston, Pennsylvania |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Knecht H Joseph |
| Telephone Number | 5705523977 |
NPI Number Detail
| NPI Number | 1609056530 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
| Address | 562 Wyoming Ave |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187043721 |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 provider identifier assigned to Luzerne Wyoming County Mh Center #1?
The Luzerne Wyoming County Mh Center #1 has been issued the NPI (National Provider Identifier) 1609056530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Luzerne Wyoming County Mh Center #1's physical address?
The Luzerne Wyoming County Mh Center #1 is physically located at 562 Wyoming Ave, in the city of Kingston, PA, with the postal code 187043721.
What is Luzerne Wyoming County Mh Center #1's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Luzerne Wyoming County Mh Center #1's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Luzerne Wyoming County Mh Center #1 receive its 1609056530?
The Luzerne Wyoming County Mh Center #1 was issued its 1609056530 on 2007-11-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Luzerne Wyoming County Mh Center #1, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Luzerne Wyoming County Mh Center #1, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY