Stephen M Knisely in Rutland - Clinical

Stephen M Knisely - NPI 1881769107

Stephen M Knisely is a Clinical in Rutland, Vermont. Stephen M Knisely practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen M Knisely is 1881769107. The last update date is 2014-01-03.

Stephen M Knisely's current location address is 160 Allen Street, Rutland, Vermont. You can contact this provider via phone number 8027471857 and fax number 8027470129. The mailing address for Stephen M Knisely is 160 Allen Street, Rutland, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen M Knisely
Address 160 Allen Street, Rutland, Vermont
Phone Number 8027471857
Fax Number 8027470129
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1881769107
Provider Enumeration Date 2006-11-21
Last Updated Date 2014-01-03

Provider Mailing Address Detail

Address 160 Allen Street
City Rutland
State Vermont (VT)
Post Code 5701
Phone Number 8027471857
Fax Number 8027470129

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 890001144
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
1012896 VT --

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FAQs about Stephen M Knisely

What is the unique 10-digit identifier code assigned to Stephen M Knisely by the Centers for Medicare & Medicaid Services?

The Stephen M Knisely has been issued the NPI (National Provider Identifier) 1881769107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Stephen M Knisely's physical address?

The Stephen M Knisely is physically located at 160 Allen Street, in the city of Rutland, VT, with the postal code 5701.

What is Stephen M Knisely'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 Stephen M Knisely is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date was the 1881769107 assigned to Stephen M Knisely?

The Stephen M Knisely was issued its 1881769107 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Stephen M Knisely last refreshed?

The information related to the Stephen M Knisely, including its address, specialty, and other relevant details, was last updated on 2014-01-03.

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