Kelly Renaud Tivnan in Burlington - Clinical
Kelly Renaud Tivnan - NPI 1710024864
Kelly Renaud Tivnan is a Clinical in Burlington, Vermont. Kelly Renaud Tivnan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Renaud Tivnan is 1710024864. The last update date is 2011-11-08.
Kelly Renaud Tivnan's current location address is 208 Flynn Ave, Burlington, Vermont. You can contact this provider via phone number 8024886900 and fax number 8024886901. The mailing address for Kelly Renaud Tivnan is 208 Flynn Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Renaud Tivnan |
|---|---|
| Address | 208 Flynn Ave, Burlington, Vermont |
| Phone Number | 8024886900 |
| Fax Number | 8024886901 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1710024864 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 208 Flynn Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54015429 |
| Phone Number | 8024886900 |
| Fax Number | 8024886901 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890071893 |
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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 |
|---|---|---|---|
| 8950385 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Renaud Tivnan by the Centers for Medicare & Medicaid Services?
The Kelly Renaud Tivnan has been assigned the NPI (National Provider Identifier) 1710024864 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelly Renaud Tivnan is located?
The Kelly Renaud Tivnan is situated at the following address: 208 Flynn Ave, Burlington, VT, 54015429.
What is Kelly Renaud Tivnan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Renaud Tivnan is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Kelly Renaud Tivnan receive its 1710024864 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Renaud Tivnan was assigned its 1710024864 by the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the details pertaining to Kelly Renaud Tivnan last refreshed?
The information related to the Kelly Renaud Tivnan, including its address, specialty, and other relevant details, was last updated on 2011-11-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA