Genie Bud Ravital in Philadelphia - Clinical
Genie Bud Ravital - NPI 1437201563
Genie Bud Ravital is a Clinical in Philadelphia, Pennsylvania. Genie Bud Ravital practices all healthcare services and medical treatments related to Clinical. The NPI Number for Genie Bud Ravital is 1437201563. The last update date is 2015-03-16.
Genie Bud Ravital's current location address is 647 W Ellet St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2679773008. The mailing address for Genie Bud Ravital is 647 W Ellet St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Genie Bud Ravital |
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Address | 647 W Ellet St, Philadelphia, Pennsylvania |
Phone Number | 2679773008 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSS, LCSW |
NPI Number Detail
NPI Number | 1437201563 |
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Provider Enumeration Date | 2007-01-17 |
Last Updated Date | 2015-03-16 |
Provider Mailing Address Detail
Address | 647 W Ellet St |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191193428 |
Phone Number | 2679773008 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CW014915 |
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 assigned to Genie Bud Ravital by the Centers for Medicare & Medicaid Services?
The Genie Bud Ravital has been issued the NPI (National Provider Identifier) 1437201563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Genie Bud Ravital is physically located?
The Genie Bud Ravital is situated at the following address: 647 W Ellet St, Philadelphia, PA 191193428.
What is Genie Bud Ravital's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Genie Bud Ravital is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437201563 to Genie Bud Ravital?
The Centers for Medicare & Medicaid Services originally issued the 1437201563 to Genie Bud Ravital on 2007-01-17.
When was the Genie Bud Ravital's information last updated?
The Genie Bud Ravital's information was last updated on 2015-03-16.