Colleen Dwyer is a Clinical in Burlington, Vermont. Colleen Dwyer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen Dwyer is 1164523080. The last update date is 2007-07-08.
Colleen Dwyer's current location address is 617 Riverside Ave, Burlington, Vermont. You can contact this provider via phone number 8028646309 and fax number 8028604324. The mailing address for Colleen Dwyer is 617 Riverside Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Dwyer |
|---|---|
| Address | 617 Riverside Ave, Burlington, Vermont |
| Phone Number | 8028646309 |
| Fax Number | 8028604324 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1164523080 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 617 Riverside Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011601 |
| Phone Number | 8028646309 |
| Fax Number | 8028604324 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000995 |
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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 |
|---|---|---|---|
| 576759 | VALUE OPTIONS | ||
| 1010437 | VT | -- | |
| 2202425 | CIGNA BEHAVIORAL HEALTH | ||
| 68164 | VT | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Colleen Dwyer by the Centers for Medicare & Medicaid Services?
The Colleen Dwyer has been issued the NPI (National Provider Identifier) 1164523080 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Colleen Dwyer located?
The Colleen Dwyer is located at 617 Riverside Ave, Burlington, VT 54011601.
What is Colleen Dwyer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Colleen Dwyer is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Colleen Dwyer receive its 1164523080?
The Colleen Dwyer was issued its 1164523080 on 2006-09-25, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Colleen Dwyer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Colleen Dwyer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.