Nello Augustine is a Clinical in Wilkes Barre, Pennsylvania. Nello Augustine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nello Augustine is 1487710265. The last update date is 2007-07-08.
Nello Augustine's current location address is 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5705526148 and fax number 5705526021. The mailing address for Nello Augustine is 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nello Augustine |
|---|---|
| Address | 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania |
| Phone Number | 5705526148 |
| Fax Number | 5705526021 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1487710265 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 S Pennsylvania Ave |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187013301 |
| Phone Number | 5705526148 |
| Fax Number | 5705526021 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW001158L |
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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 |
|---|---|---|---|
| 186133 | PA | MHN | |
| 1023799 | PA | -- | |
| 1023799 | PA | TRICARE NO. | |
| 462529 | PA | VALUEOPTIONS |
Post Comment/ Review Below
What is the unique identification code assigned to Nello Augustine by the Centers for Medicare & Medicaid Services?
The Nello Augustine has been issued the NPI (National Provider Identifier) 1487710265. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Nello Augustine?
The Nello Augustine is situated at 110 S Pennsylvania Ave, in the city of Wilkes Barre, state of PA, with the zip code 187013301.
What is the Nello Augustine's area of specialization and corresponding taxonomy classification?
The Nello Augustine's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1487710265 to Nello Augustine?
The Centers for Medicare & Medicaid Services assigned the 1487710265 to Nello Augustine on 2006-12-28.
As of what date were the details pertaining to Nello Augustine last refreshed?
The information related to the Nello Augustine, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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