Eugene O'Donnell is a Clinical in Moosic, Pennsylvania. Eugene O'Donnell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eugene O'Donnell is 1275571077. The last update date is 2018-06-05.
Eugene O'Donnell's current location address is 340 Montage Mountain Rd, Moosic, Pennsylvania. You can contact this provider via phone number 5703463686 and fax number 5705586838. The mailing address for Eugene O'Donnell is 340 Montage Mountain Rd, Moosic, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eugene O'Donnell |
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Address | 340 Montage Mountain Rd, Moosic, Pennsylvania |
Phone Number | 5703463686 |
Fax Number | 5705586838 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1275571077 |
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Provider Enumeration Date | 2006-06-03 |
Last Updated Date | 2018-06-05 |
Provider Mailing Address Detail
Address | 340 Montage Mountain Rd |
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City | Moosic |
State | Pennsylvania (PA) |
Post Code | 185071782 |
Phone Number | 5703463686 |
Fax Number | 5705586838 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CW012903 |
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 |
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292096Q9Z | PA | MEDICARE |
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What is the unique 10-digit identification code issued to Eugene O'Donnell by the Centers for Medicare & Medicaid Services?
The Eugene O'Donnell has been assigned the NPI (National Provider Identifier) 1275571077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eugene O'Donnell's physical address?
The Eugene O'Donnell is physically located at 340 Montage Mountain Rd, in the city of Moosic, PA, with the postal code 185071782.
What is the area of specialization for Eugene O'Donnell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eugene O'Donnell is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275571077 to Eugene O'Donnell?
The Eugene O'Donnell received its 1275571077 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the information related to Eugene O'Donnell most recently updated or refreshed?
The details pertaining to the Eugene O'Donnell, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-05.
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