Leslie Lee Bursley in Providence - Clinical

Leslie Lee Bursley - NPI 1740219328

Leslie Lee Bursley is a Clinical in Providence, Rhode Island. Leslie Lee Bursley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Lee Bursley is 1740219328. The last update date is 2007-07-08.

Leslie Lee Bursley's current location address is 277 Waterman Street, Providence, Rhode Island. You can contact this provider via phone number 4013317777 and fax number 4013544445. The mailing address for Leslie Lee Bursley is 277 Waterman Street, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Lee Bursley
Address 277 Waterman Street, Providence, Rhode Island
Phone Number 4013317777
Fax Number 4013544445
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1740219328
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 277 Waterman Street
City Providence
State Rhode Island (RI)
Post Code 29060
Phone Number 4013317777
Fax Number 4013544445

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No ISW01517
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
411410 RI BLUE CHIP
270951 RI BLUE CROSS BLUE SHIELD

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FAQs about Leslie Lee Bursley

What is the unique 10-digit identification code issued to Leslie Lee Bursley by the Centers for Medicare & Medicaid Services?

The Leslie Lee Bursley has been assigned the NPI (National Provider Identifier) 1740219328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Leslie Lee Bursley is located?

The Leslie Lee Bursley is situated at the following address: 277 Waterman Street, Providence, RI, 29060.

What is Leslie Lee Bursley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leslie Lee Bursley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When did Leslie Lee Bursley receive its 1740219328 assignment?

The Leslie Lee Bursley was assigned its 1740219328 on 2006-07-03, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Leslie Lee Bursley most recently updated or revised?

The details related to Leslie Lee Bursley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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